Individual provider Active NPI

Noela Tebid

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1669823712
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12191 Issued in DC
Practice address
5225 Kenilworth Ave Apt 202
Hyattsville, MD 20781-2850
Phone
(301) 541-4073
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA12191 DC Primary

Addresses

Primary practice location

5225 Kenilworth Ave Apt 202
Hyattsville, MD 20781-2850

Mailing address

5225 Kenilworth Ave Apt 202
Hyattsville, MD 20781-2850
Phone (301) 541-4073

Other identifiers 1

IdentifierTypeStateIssuer
HHA12191OtherDCHOME HEALTH AIDE

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
HHA12191DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1669823712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KENILWORTH AVE APT 202",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812850",
            "telephone_number": "301-541-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 KENILWORTH AVE APT 202",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812850",
            "telephone_number": "301-541-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBID",
        "first_name": "NOELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AIDE",
            "identifier": "HHA12191",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 29, 2016; 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.