Jackson Nji Fonlon Taniform Ngwa

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5221 Capitol Heights
Capitol Heights, MD 20743

Phone

(913) 494-2143

NPI assigned

Jan 24, 2025

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1467264515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 CAPITOL HEIGHTS",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "20743",
            "telephone_number": "913-494-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 CAPITOL HEIGHTS",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "20743",
            "telephone_number": "913-494-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWA",
        "first_name": "JACKSON",
        "middle_name": "NJI FONLON TANIFORM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naina Nguegnia Njiomegni
• Magdaline Mesame Njume Epse Nsoa, HOME HEALTH AIDE

• Community Health Worker in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Community Health Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.