Individual provider Active NPI

Fareeda Rahamatulla

  • Homemaker
  • Cape Coral, FL
National Provider Identifier
1043751878
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
234493 Issued in FL
Practice address
1222 SE 47TH St Ste 309
Cape Coral, FL 33904-9661
Phone
(239) 217-7637
NPI assigned
Mar 13, 2017
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 234493 FL
Adult Companion 372600000X 234493 FL
Homemaker 376J00000X 234493 FL Primary

Addresses

Primary practice location

1222 SE 47TH St Ste 309
Cape Coral, FL 33904-9661

Mailing address

1222 SE 47TH St Ste 309
Cape Coral, FL 33904-9661
Phone (239) 217-7637

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

LicenseStateTypeSpecialty
234493FLMDChore Provider

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1043751878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 309",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049661",
            "telephone_number": "239-217-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 309",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049661",
            "telephone_number": "239-217-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAMATULLA",
        "first_name": "FAREEDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "234493",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "234493",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.