Individual provider Active NPI

Thomas Nyabwa

  • Home Health Registered Nurse
  • Glen Burnie, MD
National Provider Identifier
1811670201
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RSA-01442 Issued in MD
Practice address
7932 Silver Leaf CT Apt D
Glen Burnie, MD 21061-6031
Phone
(667) 232-0474
NPI assigned
Aug 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RSA-01442 MD Primary

Addresses

Primary practice location

7932 Silver Leaf CT Apt D
Glen Burnie, MD 21061-6031

Mailing address

7932 Silver Leaf CT Apt D
Glen Burnie, MD 21061-6031
Phone (667) 232-0474

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
RSA-01442MDMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1811670201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 SILVER LEAF CT APT D",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616031",
            "telephone_number": "667-232-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 SILVER LEAF CT APT D",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616031",
            "telephone_number": "667-232-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYABWA",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "RSA-01442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.