Individual provider Active NPI

Ebidu Deen

  • Licensed Practical Nurse
  • Bowie, MD
National Provider Identifier
1538073127
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0002077347 Issued in VA
Practice address
416 Meadow Creek Dr
Bowie, MD 20716-3584
Phone
(202) 629-8587
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002077347 VA Primary

Addresses

Primary practice location

416 Meadow Creek Dr
Bowie, MD 20716-3584

Mailing address

416 Meadow Creek Dr
Bowie, MD 20716-3584
Phone (202) 629-8587

Other names 1

  • Ebidu Deen Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL THERAPYNOTES Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1538073127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MEADOW CREEK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163584",
            "telephone_number": "202-629-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MEADOW CREEK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163584",
            "telephone_number": "202-629-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "EBIDU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002077347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "THERAPYNOTES",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "416 MEADOW CREEK DR",
            "city": "BOWIE",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207163584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EBIDU",
            "last_name": "DEEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.