Provider Demographics
NPI:1275400558
Name:NKENGATEH, BELLEH TRACY
Entity type:Individual
Prefix:
First Name:BELLEH
Middle Name:TRACY
Last Name:NKENGATEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9909 GREENBELT RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2242
Mailing Address - Country:US
Mailing Address - Phone:301-537-5997
Mailing Address - Fax:
Practice Address - Street 1:9909 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2242
Practice Address - Country:US
Practice Address - Phone:301-537-5997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide