Gabrielle Magne Fonkam

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA14138 Issued in DC

Practice address

3817 64TH Ave Apt 103
Landover Hills, MD 20784-1857

Phone

(213) 246-6045

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1396395976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 64TH AVE APT 103",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841857",
            "telephone_number": "213-246-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 64TH AVE APT 103",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841857",
            "telephone_number": "213-246-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNE FONKAM",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samar H Khleif, LCPC
• Ivan Lautry Kinfack
• Elizabeth P. Koontz, LCSW-C
• Michelle Marie Plewes Kotwas, MSW
• Jacqueline Lubovich, LCSW-C
• Mary T Mbai
• Palagie Mbognou Pamewa
• Metro Prosthetics, Inc.
• Mary B Mitchell, LCSWC
• Isaac Eromosele Moses

• Home Health Aide in Landover Hills, MD
• Providers in Landover Hills, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.