Individual provider Active NPI

Pamela Raissa Ngueumou Sabgueu

  • Nurse's Aide
  • Silver Spring, MD
National Provider Identifier
1568030450
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00193286 Issued in MD
Practice address
1811 Mount Pisgah LN Apt 23
Silver Spring, MD 20903-2154
Phone
(206) 393-2262
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00193286 MD Primary

Addresses

Primary practice location

1811 Mount Pisgah LN Apt 23
Silver Spring, MD 20903-2154

Mailing address

1811 Mount Pisgah LN Apt 23
Silver Spring, MD 20903-2154
Phone (206) 393-2262

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A00193286MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1568030450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 MOUNT PISGAH LN APT 23",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032154",
            "telephone_number": "206-393-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MOUNT PISGAH LN APT 23",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032154",
            "telephone_number": "206-393-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUEUMOU SABGUEU",
        "first_name": "PAMELA",
        "middle_name": "RAISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00193286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.