Individual provider Active NPI

Akum Geraldine Tebeck

  • Home Health Aide
  • Beltsville, MD
National Provider Identifier
1669940482
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14066 Issued in DC
Practice address
11437 Cherry Hill Rd Apt 101
Beltsville, MD 20705-3640
Phone
(301) 328-6980
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 HHA14066 DC Primary

Addresses

Primary practice location

11437 Cherry Hill Rd Apt 101
Beltsville, MD 20705-3640

Mailing address

11437 Cherry Hill Rd Apt 101
Beltsville, MD 20705-3640
Phone (301) 328-6980

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
HHA14066DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1669940482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11437 CHERRY HILL RD APT 101",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053640",
            "telephone_number": "301-328-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 CHERRY HILL RD APT 101",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053640",
            "telephone_number": "301-328-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBECK",
        "first_name": "AKUM",
        "middle_name": "GERALDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.