Gaettan Bawounkeu

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1818 Metzerott Rd Apt 26
Adelphi, MD 20783-5134

Phone

(240) 470-2658

NPI assigned

Aug 31, 2018

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1255813663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 RIVERDALE RD APT T3",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207844023",
            "telephone_number": "240-470-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 METZEROTT RD APT 26",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835134",
            "telephone_number": "240-470-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWOUNKEU",
        "first_name": "GAETTAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13867",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Tehenbah Atashima, HHA
• Cletus Asogo Atingatang, PA - C
• Helen Avigan, PH.D.
• Alfred Bamedig, HHA
• Regine Bankoue Epse Kijobi
• Agbortabe Eneke Besong
• Bridget Bih Fru
• Solange Bih
• Caroline Elizabeth Billhimer
• Liya Temesgen Birhane

• Case Manager/Care Coordinator in Adelphi, MD
• Providers in Adelphi, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.