NPIMap

Organization Active NPI

Sankofa Health, LLC

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1164046231
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SANKOFA HEALTH, LLC
Practice address
300 Main St
Laurel, MD 20707-4114
Phone
(240) 786-7182
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcus Ponder
Title
Principal
Phone
(301) 675-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

300 Main St
Laurel, MD 20707-4114

Mailing address

15606 N Platte Dr
Bowie, MD 20716-1361
Phone (301) 675-9109

Other practice location 1

302 Main St
Laurel, MD 20707-4114
Phone (240) 786-7182

National Provider Directory

National Provider Directory

Locations

302 Main St
Laurel, MD 20707
Phone (240) 786-7182

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1164046231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15606 N PLATTE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161361",
            "telephone_number": "301-675-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074114",
            "telephone_number": "240-786-7182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Main St",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074114",
            "country_code": "US",
            "telephone_number": "240-786-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANKOFA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "301-675-9109"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.