Individual provider Active NPI

Esther Abimbola Adefenwa

  • Home Health Aide
  • Riverdale, MD
National Provider Identifier
1457905929
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14593 Issued in DC
Practice address
6255 64TH Avenue #4
Riverdale, MD 20737-2966
Phone
(240) 422-5649
NPI assigned
Aug 1, 2019
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 14593 DC
Home Health Aide 374U00000X HHA14593 DC Primary

Addresses

Primary practice location

6255 64TH Avenue #4
Riverdale, MD 20737-2966

Mailing address

6255 64TH Avenue #4
Riverdale, MD 20737-2966
Phone (240) 422-5649

Other practice location 1

6255 64th avenue #4
Riverdale, MD 20737

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
14593DCMDHome Health Aide
HHA14593DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1457905929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 64TH AVENUE #4",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372966",
            "telephone_number": "240-422-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 64TH AVENUE #4",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207372966",
            "telephone_number": "240-422-5649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6255 64th avenue #4",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "20737",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEFENWA",
        "first_name": "ESTHER",
        "middle_name": "ABIMBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "14593",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14593",
            "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 Aug 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.