Individual provider Active NPI

Alpha Foday Fofana

  • Licensed Vocational Nurse
  • Rosenberg, TX
National Provider Identifier
1427616739
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
217297 Issued in TX
Practice address
1110 Wheatfield CT
Rosenberg, TX 77469-5360
Phone
(832) 341-7536
NPI assigned
Jun 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Licensed Vocational Nurse 164X00000X 217297 TX Primary

Addresses

Primary practice location

1110 Wheatfield CT
Rosenberg, TX 77469-5360

Mailing address

1110 Wheatfield CT
Rosenberg, TX 77469-5360
Phone (832) 341-7536

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
217297TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cottontreee Transport CurrentSince May 28, 2023 Accepting new patients

Organizations & group practices 1

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": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1427616739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 WHEATFIELD CT",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774695360",
            "telephone_number": "832-341-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WHEATFIELD CT",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774695360",
            "telephone_number": "832-341-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "ALPHA",
        "middle_name": "FODAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "217297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.