Active NPI
Fatoumata Tamadou
- Adult Companion
- Pikesville, MD
National Provider Identifier
1073149852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- R4330
- Practice address
- 4625 Horizon Cir Apt 102
Pikesville, MD 21208-6801 - Phone
- (443) 616-7218
- NPI assigned
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | R4330 | MD | Primary |
Addresses
Primary practice location
4625 Horizon Cir Apt 102
Pikesville, MD 21208-6801
Mailing address
4625 Horizon Cir Apt 102
Pikesville, MD 21208-6801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1062282 | Other | MD | LEVEL 1 |
| 83-1062282 | Medicaid | MD |
Other names 1
- Fatoumata Tamadou
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.princeresidentialservice.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R4330 | MD | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1073149852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 HORIZON CIR APT 102",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 HORIZON CIR APT 102",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086801",
"telephone_number": "443-616-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMADOU",
"first_name": "FATOUMATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MD",
"license": "R4330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEVEL 1",
"identifier": "83-1062282",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-1062282",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.princeresidentialservice.com",
"affiliation": "N",
"endpointDescription": "type 1",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "type 1",
"address_1": "4625 Horizon Cir Apt 102",
"city": "Pikesville",
"state": "MD",
"country_code": "US",
"postal_code": "212086801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "FATOUMATA",
"last_name": "TAMADOU",
"credential": "LICENCE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.