SHANISE ABO TEBO
NPI 1063253532
Home Health Aide in Bowie, MD

Active since June 06, 2024
12711 PROSPECT KNOLLS DR, BOWIE, MD 20720(202) 666-3684 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanise Abo Tebo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANISE ABO TEBO (NPI 1063253532) is an individual home health aide in Bowie, Maryland and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1063253532
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameSHANISE ABO TEBO
Location Address12711 PROSPECT KNOLLS DRBowie, MD 20720-4606
Mailing Address12711 Prospect Knolls DrBowie, MD 20720-4606 · (202) 666-3684
Sole ProprietorNo
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
NPI 1063253532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
12711 PROSPECT KNOLLS DR, Bowie, MD 20720

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
12711 PROSPECT KNOLLS DR
BOWIE, MD 20720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanise Tebo's NPI number?

The NPI number for Shanise Tebo is 1063253532. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Shanise Tebo located?

Shanise Tebo practices at 12711 Prospect Knolls Dr, Bowie, MD 20720. The listed phone number is (202) 666-3684.

What is Shanise Tebo's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Shanise Tebo was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.