Individual provider Active NPI

Fabrice Vance Nfon

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1134517212
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA11018 Issued in DC
Practice address
9925 Greenbelt Rd Apt 102
Lanham, MD 20706-2250
Phone
(240) 615-6847
NPI assigned
Dec 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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 HHA11018 DC Primary

Addresses

Primary practice location

9925 Greenbelt Rd Apt 102
Lanham, MD 20706-2250

Mailing address

9925 Greenbelt Rd Apt 102
Lanham, MD 20706-2250
Phone (240) 615-6847

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
HHA11018DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1134517212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 GREENBELT RD APT 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062250",
            "telephone_number": "240-615-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 GREENBELT RD APT 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062250",
            "telephone_number": "240-615-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NFON",
        "first_name": "FABRICE",
        "middle_name": "VANCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.