Kehbila Evonce Bayuga

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1055857 Issued in DC

Practice address

1480 Good Hope Rd SE
Washington, DC 20020-5615

Phone

(202) 558-2448

Fax

(202) 204-5758

NPI assigned

May 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1801154471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 TOWNSEND WAY APT C3",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101880",
            "telephone_number": "240-330-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205615",
            "telephone_number": "202-558-2448",
            "fax_number": "202-204-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYUGA",
        "first_name": "KEHBILA",
        "middle_name": "EVONCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "DC",
            "license": "1055857",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehmet Bayraktar, MD
• Embeba Bayru
• Frances Baysah
• Mywen Baysah, LICSW
• Ceyda Ecem Baysal, LGPC, MA, NCC
• Suzan Baz
• Lauren Rachelle Baze, PA-C
• Charelia E. Bazemore
• Marlet G Bazemore, MD
• Cherly Bazil

• Psychiatric/Mental Health Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.