Individual provider Active NPI

Peter Acha Atemnkeng, RN

  • Registered Nurse
  • Manassas, VA
National Provider Identifier
1326314873
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1006432 Issued in DC
Practice address
10158 Wilmington St
Manassas, VA 20109-3756
Phone
(301) 675-8398
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1006432 DC Primary

Addresses

Primary practice location

10158 Wilmington St
Manassas, VA 20109-3756

Mailing address

10158 Wilmington St
Manassas, VA 20109-3756
Phone (301) 675-8398

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

LicenseStateTypeSpecialty
RN1006432DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Healthcare Resources, LLC Current Accepting new patients
Absolute Healthcare Resources, LLC Current 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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1326314873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 WILMINGTON ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093756",
            "telephone_number": "301-675-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 WILMINGTON ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093756",
            "telephone_number": "301-675-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEMNKENG",
        "first_name": "PETER",
        "middle_name": "ACHA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1006432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.