Individual provider Active NPI

Millicent Chidiebere Madujibeya, RN

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1841787728
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1047866 Issued in DC
Practice address
6856 Eastern Ave NW Ste 320a
Washington, DC 20012-2112
Phone
(202) 541-9844
Fax
(202) 541-9845
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1047866 DC Primary

Addresses

Primary practice location

6856 Eastern Ave NW Ste 320a
Washington, DC 20012-2112

Mailing address

6175 Glenn Dale Rd
Glenn Dale, MD 20769-9212
Phone (512) 576-4383

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1047866DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Linac Services Inc. Past Accepting new patients
Linac Services Inc Past Accepting new patients

Organizations & group practices 2

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1841787728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 GLENN DALE RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699212",
            "telephone_number": "512-576-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW STE 320A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122112",
            "telephone_number": "202-541-9844",
            "fax_number": "202-541-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUJIBEYA",
        "first_name": "MILLICENT",
        "middle_name": "CHIDIEBERE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1047866",
            "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 Apr 17, 2018; 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.