Individual provider Active NPI

Robert Ebot Tambe-Ebot

  • Social Worker
  • Washington, DC
National Provider Identifier
1770394744
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG200004464 Issued in DC
Practice address
2027 Martin Luther King Jr Ave SE
Washington, DC 20020-7007
Phone
(202) 800-4387
Fax
(202) 506-5988
NPI assigned
Jan 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG200004464 DC Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2027 Martin Luther King Jr Ave SE
Washington, DC 20020-7007

Mailing address

9107 Myrtle Ave
Bowie, MD 20720-3224
Phone (817) 903-6367

Other practice location 1

3341 Benning Rd NE
Washington, DC 20019-1502
Phone (202) 733-4904

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
LG200004464DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kinara Health and Home Care Services LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

2027 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 506-5529

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1770394744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 MYRTLE AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203224",
            "telephone_number": "817-903-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207007",
            "telephone_number": "202-800-4387",
            "fax_number": "202-506-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3341 Benning Rd NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200191502",
            "country_code": "US",
            "telephone_number": "202-733-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBE-EBOT",
        "first_name": "ROBERT",
        "middle_name": "EBOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200004464",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 12, 2025; 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.