Individual provider Active NPI

Ezinna Uloma Mbalewe, RN

  • Case Manager/Care Coordinator
  • Silver Spring, MD
National Provider Identifier
1629555354
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
R139466 Issued in MD
Practice address
14725 Good Hope Rd
Silver Spring, MD 20905-6020
Phone
(240) 970-5310
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X R139466 MD Primary

Addresses

Primary practice location

14725 Good Hope Rd
Silver Spring, MD 20905-6020

Mailing address

3140 Beethoven Way
Silver Spring, MD 20904-6860
Phone (301) 661-8365

Other identifiers 1

IdentifierTypeStateIssuer
1730666546OtherNATIONAL PROVIDER ID

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R139466MDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Acumen Care LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1629555354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BEETHOVEN WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046860",
            "telephone_number": "301-661-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 GOOD HOPE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209056020",
            "telephone_number": "240-970-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBALEWE",
        "first_name": "EZINNA",
        "middle_name": "ULOMA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "R139466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1730666546",
            "state": null
        }
    ],
    "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 Jul 25, 2018; 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.