Samson Akinkuotu

Key facts

NPI

1346008562

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

4808 Wild Horse CT
Upper Marlboro, MD 20772-3178

Phone

(240) 556-7182

NPI assigned

Mar 12, 2024

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2024.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1346008562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 WILD HORSE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723178",
            "telephone_number": "240-556-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 WILD HORSE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723178",
            "telephone_number": "240-556-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINKUOTU",
        "first_name": "SAMSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

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• Olivia Ugochi Akas
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• Funmilayo Akindele
• Mary Ifedolapo Akinkoutu
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• Taiwo A Akinwekomi
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• Oluwatoyin Akomolafe
• Okechukwu Cyril Akunwafor, PMHNP

All providers in Upper Marlboro, MD · Home Health Aide in Maryland