Mary Miatta Kargbo, HHA, REGISTERED NURS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN1044787 Issued in DC

Practice address

2637 Nicholson St Apt 103
Hyattsville, MD 20782-2661

Phone

(202) 545-0935

Fax

(202) 545-0934

NPI assigned

Jul 5, 2012

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Lifepathway Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Bowie, MD
  • NPI 1407706443
  NPD Authorized official

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1912262015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 EMMANUAL WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161265",
            "telephone_number": "240-706-4347",
            "fax_number": "240-706-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 NICHOLSON ST APT 103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822661",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "MARY",
        "middle_name": "MIATTA",
        "credential": "HHA, REGISTERED NURS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1044787",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Kanu
• Esodezan Kao
• Mededewe Kao
• Vijaykumar Kapse
• Karenga R. Lemmons, MD, LLC
• Karib Services Inc. (Springtime Home)
• Genet Kassa
• Bolanle Silifat Kassim
• Kassmel Inc (Chandler's Medical Supply)
• Thanuja Katakam, MD

• Psychiatric/Mental Health Nurse Practitioner in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.