Mary Ruth Fofanah, NA

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1401103712 Issued in VA

Practice address

509 Rivers Edge Dr
Fredericksburg, VA 22405-1298

Phone

(571) 501-5981

Fax

(571) 501-5981

NPI assigned

Nov 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safehands Reliable Transportation

  • Transportation Broker
  • Fredericksburg, VA
  • NPI 1770450793
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1205798642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 RIVERS EDGE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051298",
            "telephone_number": "571-501-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 RIVERS EDGE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051298",
            "telephone_number": "571-501-5981",
            "fax_number": "571-501-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANAH",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "NA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "1401103712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Kim Florio, PA
• Flourish
• Sabrina Floyd
• Yvette E Flynn, DPT
• Focus Behavioral Services
• Michael Paul Fogel, PA-C
• Eveline Fohtung, NP
• Kehinde Matilda Folawewo, M.D
• Jean Foley, RN
• Kristin Foltz, PTA

• Home Health Registered Nurse in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Home Health Registered Nurse in Virginia

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