Individual provider Active NPI

Nike Taiwo Awe-Bamidele

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1063192037
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200002956 Issued in DC
Practice address
6808 Woodstream Cir
Lanham, MD 20706-2134
Phone
(919) 885-6253
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA200002956 DC Primary

Addresses

Primary practice location

6808 Woodstream Cir
Lanham, MD 20706-2134

Mailing address

6808 Woodstream Cir
Lanham, MD 20706-2134
Phone (919) 885-6253

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
HHA200002956DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1063192037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 WOODSTREAM CIR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062134",
            "telephone_number": "919-885-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 WOODSTREAM CIR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062134",
            "telephone_number": "919-885-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWE-BAMIDELE",
        "first_name": "NIKE",
        "middle_name": "TAIWO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200002956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.