Individual provider Active NPI

Yemisi Precious Awofisibe

  • Home Health Aide
  • Riverdale, MD
National Provider Identifier
1356784052
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6841A Riverdale Rd
Riverdale, MD 20737-1870
Phone
(240) 353-5981
NPI assigned
Apr 11, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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 NU Primary

Addresses

Primary practice location

6841A Riverdale Rd
Riverdale, MD 20737-1870

Mailing address

6841A Riverdale Rd
Riverdale, MD 20737-1870
Phone (240) 353-5981

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

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1356784052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841A RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371870",
            "telephone_number": "240-353-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841A RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371870",
            "telephone_number": "240-353-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOFISIBE",
        "first_name": "YEMISI",
        "middle_name": "PRECIOUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.