Individual provider Active NPI

Marie Agbor Ayuk I

  • Licensed Practical Nurse
  • Hyattsville, MD
National Provider Identifier
1659774958
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN100584Q Issued in DC
Practice address
6210 Belcrest Rd
Apt.1206
Hyattsville, MD 20782-2952
Phone
(301) 455-1366
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 LPN100584Q DC Primary

Addresses

Primary practice location

6210 Belcrest Rd
Apt.1206
Hyattsville, MD 20782-2952

Mailing address

6210 Belcrest Rd
Apt.1206
Hyattsville, MD 20782-2952
Phone (301) 455-1366

Other names 1

  • Ms. Marie Agbor Ayuk I Other name

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
LPN100584QDCMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1659774958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 BELCREST RD",
            "address_2": "APT.1206",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822952",
            "telephone_number": "301-455-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 BELCREST RD",
            "address_2": "APT.1206",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822952",
            "telephone_number": "301-455-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUK",
        "first_name": "MARIE",
        "middle_name": "AGBOR",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN100584Q",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "AYUK",
            "middle_name": "AGBOR",
            "prefix": "MS.",
            "suffix": "I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.