Individual provider Active NPI

Shakirat Adenike Asaolu

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1467928135
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
14064 Issued in DC
Practice address
3035 Stanton Rd SE
Washington, DC 20020-7875
Phone
(312) 451-4204
NPI assigned
Oct 19, 2018
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 14064 DC Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

3035 Stanton Rd SE
Washington, DC 20020-7875

Mailing address

3035 Stanton Rd SE
Washington, DC 20020-7875
Phone (312) 451-4204

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
14064DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1467928135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 STANTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207875",
            "telephone_number": "312-451-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 STANTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207875",
            "telephone_number": "312-451-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAOLU",
        "first_name": "SHAKIRAT",
        "middle_name": "ADENIKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "14064",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 23, 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.