Individual provider Active NPI

Esabella Mah Tebid Mbah, APRN

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1730511981
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R174293 Issued in MD
Practice address
9801 Greenbelt Rd Ste 104
Lanham, MD 20706-6204
Phone
(202) 257-2130
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1009165 DC
Family Nurse Practitioner 363LF0000X R174293 MD Primary

Addresses

Primary practice location

9801 Greenbelt Rd Ste 104
Lanham, MD 20706-6204

Mailing address

4512 Doctor Beans Legacy Cir
Bowie, MD 20720-6384
Phone (202) 257-2130

Other practice location 1

4512 Doctor Beans Legacy Cir
Bowie, MD 20720-6384
Phone (202) 257-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4512 Doctor Beans Legacy Cir
Bowie, MD 20720-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetouch Family Clinic LLC PastSince Feb 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: esabella.tebid.mbah.1@33243.direct.athenahealth.com

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1730511981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 DOCTOR BEANS LEGACY CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206384",
            "telephone_number": "202-257-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GREENBELT RD STE 104",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066204",
            "telephone_number": "202-257-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4512 Doctor Beans Legacy Cir",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207206384",
            "country_code": "US",
            "telephone_number": "202-257-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEBID MBAH",
        "first_name": "ESABELLA",
        "middle_name": "MAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1009165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.