Individual provider Active NPI

Fnu Frankline Ekesagha Fotabe

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1063928265
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13383 Issued in DC
Practice address
2400 Queens Chapel Rd Apt 207
Hyattsville, MD 20782-3632
Phone
(240) 615-7239
NPI assigned
Dec 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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 HHA13383 DC Primary

Addresses

Primary practice location

2400 Queens Chapel Rd Apt 207
Hyattsville, MD 20782-3632

Mailing address

2400 Queens Chapel Rd Apt 207
Hyattsville, MD 20782-3632
Phone (240) 615-7239

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
HHA13383DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1063928265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 QUEENS CHAPEL RD APT 207",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823632",
            "telephone_number": "240-615-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 QUEENS CHAPEL RD APT 207",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823632",
            "telephone_number": "240-615-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLINE EKESAGHA FOTABE",
        "first_name": "FNU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.