Individual provider Active NPI

Godfried Asare Kenah, DNP

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1205441466
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179695 Issued in VA
Practice address
458 Crab Apple Dr
Stafford, VA 22554-6860
Phone
(703) 213-9005
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179695 VA Primary

Addresses

Primary practice location

458 Crab Apple Dr
Stafford, VA 22554-6860

Mailing address

458 Crab Apple Dr
Stafford, VA 22554-6860
Phone (703) 213-9005

Other identifiers 1

IdentifierTypeStateIssuer
14982681OtherVACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179695VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ken-Sare Health LLC CurrentSince Jul 17, 2022 Accepting new patients
Qunique Med LLC CurrentSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1205441466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 CRAB APPLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546860",
            "telephone_number": "703-213-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 CRAB APPLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546860",
            "telephone_number": "703-213-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENAH",
        "first_name": "GODFRIED",
        "middle_name": "ASARE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14982681",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.