Active NPI
Rosemary Nguatem Folefa Fonya, RN
- Registered Nurse
- Laurel, MD
National Provider Identifier
1255108833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1060111
- Practice address
- 11613 Clocktower LN
Laurel, MD 20708-3514 - Phone
- (240) 294-8521
- NPI assigned
- Dec 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Registered Nurse | 163W00000X | RN1060111 | DC | Primary |
Addresses
Primary practice location
11613 Clocktower LN
Laurel, MD 20708-3514
Mailing address
11613 Clocktower LN
Laurel, MD 20708-3514
Phone (240) 294-8521
Other practice location 1
1427 Marion Barry Ave SE
Washington, DC 20020-5614
Phone (202) 836-4841
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1060111 | DC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaf Divine Healthcare LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Laurel, MD
- NPI 1528611845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1255108833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11613 CLOCKTOWER LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083514",
"telephone_number": "240-294-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11613 CLOCKTOWER LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083514",
"telephone_number": "240-294-8521"
}
],
"practiceLocations": [
{
"address_1": "1427 Marion Barry Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200205614",
"country_code": "US",
"telephone_number": "202-836-4841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLEFA FONYA",
"first_name": "ROSEMARY",
"middle_name": "NGUATEM",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1060111",
"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 Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.