Active NPI
Rachael Afolabi, CNA
- Nurse's Aide
- Upper Marlboro, MD
National Provider Identifier
1154736106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA00809080
- Practice address
- 7608 Georgian Dr
Upper Marlboro, MD 20772-4496 - Phone
- (240) 619-0540
- NPI assigned
- Jun 29, 2014
- Last updated
- Jun 29, 2014
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA00809080 | DC | Primary |
Addresses
Primary practice location
7608 Georgian Dr
Upper Marlboro, MD 20772-4496
Mailing address
7608 Georgian Dr
Upper Marlboro, MD 20772-4496
Phone (240) 619-0540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA 00809080 | Other | DC | CNA |
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 |
|---|---|---|---|
| NA00809080 | DC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404000000000",
"number": "1154736106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7608 GEORGIAN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724496",
"telephone_number": "240-619-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7608 GEORGIAN DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724496",
"telephone_number": "240-619-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFOLABI",
"first_name": "RACHAEL",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-29",
"last_updated": "2014-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NA00809080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "NA 00809080",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.