Individual provider Active NPI

Kuburat Abimbola Akinbani, DC

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1104489293
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14356 Issued in DC
Practice address
4825 N Capitol St NE Apt 103
Washington, DC 20011-6706
Phone
(202) 492-6104
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 HHA14356 DC Primary

Addresses

Primary practice location

4825 N Capitol St NE Apt 103
Washington, DC 20011-6706

Mailing address

4825 N Capitol St NE Unit Apt 103
Washington, DC 20011-6747
Phone (202) 492-6104

Other identifiers 1

IdentifierTypeStateIssuer
91445700MedicaidDC

Other names 1

  • Miss Kuburat Abimbola Olonisowon Former name

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
HHA14356DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1104489293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 N CAPITOL ST NE UNIT APT 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116747",
            "telephone_number": "202-492-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 N CAPITOL ST NE APT 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116706",
            "telephone_number": "202-492-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINBANI",
        "first_name": "KUBURAT",
        "middle_name": "ABIMBOLA",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91445700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUBURAT",
            "last_name": "OLONISOWON",
            "middle_name": "ABIMBOLA",
            "prefix": "MISS",
            "credential": "NIGERIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.