Active NPI
Bolude Ademola
- Home Health Aide
- Washington, DC
National Provider Identifier
1457744781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- LPN1003743
- Practice address
- 6856 Eastern Ave NW
Washington, DC 20012-2165 - Phone
- (202) 545-6980
- Fax
- (877) 839-6747
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | LPN1003743 | DC | Primary |
Addresses
Primary practice location
6856 Eastern Ave NW
Washington, DC 20012-2165
Mailing address
6312 Inwood St
Cheverly, MD 20785-3132
Phone (240) 755-5103
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN1003743 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1457744781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 INWOOD ST",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207853132",
"telephone_number": "240-755-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 EASTERN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122165",
"telephone_number": "202-545-6980",
"fax_number": "877-839-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEMOLA",
"first_name": "BOLUDE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "LPN1003743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.