Active NPI
Karen Ebai Pembe
- Home Health Aide
- Greenbelt, MD
National Provider Identifier
1962764316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- P-510-461-163-810
- Practice address
- 9001 Breezewood Ter
Apt 201
Greenbelt, MD 20770-1033 - Phone
- (240) 406-0565
- NPI assigned
- Jun 12, 2012
- Last updated
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | P-510-461-163-810 | MD | Primary |
Addresses
Primary practice location
9001 Breezewood Ter
Apt 201
Greenbelt, MD 20770-1033
Mailing address
9001 Breezewood Ter
Apt 201
Greenbelt, MD 20770-1033
Phone (240) 406-0565
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
| License | State | Type | Specialty |
|---|---|---|---|
| P-510-461-163-810 | MD | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1962764316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 BREEZEWOOD TER",
"address_2": "APT 201",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701033",
"telephone_number": "240-406-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 BREEZEWOOD TER",
"address_2": "APT 201",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701033",
"telephone_number": "240-406-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBE",
"first_name": "KAREN",
"middle_name": "EBAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "P-510-461-163-810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.