Active NPI
Kuburat Abimbola Akinbani, DC
- Home Health Aide
- Washington, DC
National Provider Identifier
1104489293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA14356
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91445700 | Medicaid | DC |
Other names 1
- Miss Kuburat Abimbola Olonisowon
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 |
|---|---|---|---|
| HHA14356 | DC | MD | Home 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.