Olivia Mbuanobe Mbah, MSN NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R129347 Issued in MD

Practice address

7500 Hanover Pkwy Ste 202
Greenbelt, MD 20770-2009

Phone

(301) 289-7722

Fax

(301) 441-2518

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: olivia.mbah.1@25488.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1497229850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E WEST HWY APT 314",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103061",
            "telephone_number": "301-257-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 202",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702009",
            "telephone_number": "301-289-7722",
            "fax_number": "301-441-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "OLIVIA",
        "middle_name": "MBUANOBE",
        "name_prefix": "Mrs.",
        "credential": "MSN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R129347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R129347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Mazique, MD
• John Mba
• Prudence Mbabnda
• Eyah Gladys Mbah, HHA
• Hericta Anwei Mbah
• Robert Tewan Mbah
• Diah Anne B Mbiteghambo
• Emilia Lem Mbonifor
• Theresia Ayangnyor Mbu
• M Marjorie Beauvoir McAllister, LCSW-C

• Family Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.