Individual provider Active NPI

Aminat R Muritala, LPN

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1508207440
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1006267 Issued in DC
Practice address
1731 Bunker Hill Rd NE
Washington, DC 20017-3026
Phone
(202) 635-5756
Fax
(202) 635-5780
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1006267 DC Primary
Home Health Agency 251E00000X HHA5934 DC

Addresses

Primary practice location

1731 Bunker Hill Rd NE
Washington, DC 20017-3026

Mailing address

5451 Newton St
Apr. 5
Hyattsville, MD 20784-1059
Phone (202) 705-8193

Other identifiers 1

IdentifierTypeStateIssuer
055705600MedicaidDE

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
LPN1006267DCMDLicensed Practical Nurse
HHA5934DCMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1508207440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 NEWTON ST",
            "address_2": "APR. 5",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841059",
            "telephone_number": "202-705-8193",
            "fax_number": "202-635-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173026",
            "telephone_number": "202-635-5756",
            "fax_number": "202-635-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURITALA",
        "first_name": "AMINAT",
        "middle_name": "R",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1006267",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA5934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055705600",
            "state": "DE"
        }
    ],
    "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 Jul 8, 2013; 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.