Active NPI
Divine Damkam Christelle Ngako
- Adult Companion
- Bowie, MD
National Provider Identifier
1497416036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 2703 Millwood Way
Bowie, MD 20721-2989 - Phone
- (240) 707-4039
- NPI assigned
- Jan 5, 2022
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
2703 Millwood Way
Bowie, MD 20721-2989
Mailing address
2703 Millwood Way
Bowie, MD 20721-2989
Phone (240) 707-4039
Other names 1
- Divine Damkam Christelle Ngako
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1497416036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 MILLWOOD WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212989",
"telephone_number": "240-707-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 MILLWOOD WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212989",
"telephone_number": "240-707-4039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAKO",
"first_name": "DIVINE",
"middle_name": "DAMKAM CHRISTELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIVINE",
"last_name": "NGAKO",
"middle_name": "DAMKAM CHRISTELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.