Active NPI
Crescentia Chongong Akumbom
- Licensed Vocational Nurse
- Hyattsville, MD
National Provider Identifier
1073867826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 34750
- Practice address
- 6475 New Hampshire Ave Ste 504F
Hyattsville, MD 20783-3277 - Phone
- (301) 560-1352
- Fax
- (301) 238-4714
- NPI assigned
- Nov 1, 2012
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 34750 | DC | Primary |
Addresses
Primary practice location
6475 New Hampshire Ave Ste 504F
Hyattsville, MD 20783-3277
Mailing address
6475 New Hampshire Ave Ste 504F
Hyattsville, MD 20783-3277
Phone (301) 560-1352
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 |
|---|---|---|---|
| 34750 | DC | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cres Unity Care Home LLC | Current | Accepting new patients | |
| Ab3 Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1801631403
-
- Community/Behavioral Health Agency
- Hyattsville, MD
- NPI 1447758743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1073867826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 NEW HAMPSHIRE AVE STE 504F",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207833277",
"telephone_number": "301-560-1352",
"fax_number": "301-238-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 NEW HAMPSHIRE AVE STE 504F",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207833277",
"telephone_number": "301-560-1352",
"fax_number": "301-238-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKUMBOM",
"first_name": "CRESCENTIA",
"middle_name": "CHONGONG",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "DC",
"license": "34750",
"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 Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.