Active NPI
Oluwagbenga A Famuyide
- Home Health Aide
- Washington, DC
National Provider Identifier
1124637830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA15325
- Practice address
- 3528 Clay PL NE Apt 4
Washington, DC 20019-2656 - Phone
- (336) 684-7553
- NPI assigned
- Jul 28, 2020
- Sex
- Male
- 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 | HHA15325 | DC | Primary |
Addresses
Primary practice location
3528 Clay PL NE Apt 4
Washington, DC 20019-2656
Mailing address
3528 Clay PL NE Apt 4
Washington, DC 20019-2656
Phone (336) 684-7553
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 |
|---|---|---|---|
| HHA15325 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1124637830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3528 CLAY PL NE APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192656",
"telephone_number": "336-684-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3528 CLAY PL NE APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192656",
"telephone_number": "336-684-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMUYIDE",
"first_name": "OLUWAGBENGA",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA15325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 28, 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.