Individual provider Active NPI

Maria-Goretti N Numfor-Ambe

  • Case Management Registered Nurse
  • Washington, DC
National Provider Identifier
1689259293
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN1052134 Issued in DC
Practice address
3005 Bladensburg Rd NE
Washington, DC 20018-2265
Phone
(202) 635-2320
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WC0400X RN1052134 DC Primary

Addresses

Primary practice location

3005 Bladensburg Rd NE
Washington, DC 20018-2265

Mailing address

9005 Wildberry CT
Boonsboro, MD 21713-1861
Phone (301) 785-8223

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
RN1052134DCMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1689259293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 WILDBERRY CT",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131861",
            "telephone_number": "301-785-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BLADENSBURG RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182265",
            "telephone_number": "202-635-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUMFOR-AMBE",
        "first_name": "MARIA-GORETTI",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "DC",
            "license": "RN1052134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.