Individual provider Active NPI

Samson Akpobome, SOLE PROPRIETOR

  • Home Health Aide
  • Federal Way, WA
National Provider Identifier
1184414005
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
30305 6TH Ave S
Federal Way, WA 98003-4014
Phone
(425) 306-6497
NPI assigned
May 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 Primary

Addresses

Primary practice location

30305 6TH Ave S
Federal Way, WA 98003-4014

Mailing address

30305 6TH Ave S
Federal Way, WA 98003-4014
Phone (425) 306-6497

Other names 1

  • Dr. Samson Akpobome Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1184414005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30305 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034014",
            "telephone_number": "425-306-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30305 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034014",
            "telephone_number": "425-306-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPOBOME",
        "first_name": "SAMSON",
        "credential": "SOLE PROPRIETOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMSON",
            "last_name": "AKPOBOME",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.