Individual provider Active NPI

Akinola Fowowe Sr.

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1285095836
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA11847 Issued in DC
Practice address
11405 Villa CT
Upper Marlboro, MD 20774-5702
Phone
(240) 413-5681
NPI assigned
Mar 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 HHA11847 DC Primary

Addresses

Primary practice location

11405 Villa CT
Upper Marlboro, MD 20774-5702

Mailing address

11405 Villa CT
Upper Marlboro, MD 20774-5702
Phone (240) 413-5681

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

State licenses

LicenseStateTypeSpecialty
HHA11847DCMDHome Health Aide

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25683/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1285095836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 VILLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745702",
            "telephone_number": "240-413-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 VILLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745702",
            "telephone_number": "240-413-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWOWE",
        "first_name": "AKINOLA",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.