Individual provider Active NPI

Alain Nkwankam

  • Home Health Aide
  • Burtonsville, MD
National Provider Identifier
1508273228
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA10566 Issued in DC
Practice address
14412 Stepping Stone Way
Burtonsville, MD 20866-1937
Phone
(240) 581-0712
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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 HHA10566 DC Primary
Nurse's Aide 376K00000X NA00605957 DC

Addresses

Primary practice location

14412 Stepping Stone Way
Burtonsville, MD 20866-1937

Mailing address

14412 Stepping Stone Way
Burtonsville, MD 20866-1937
Phone (240) 581-0712

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
HHA10566DCMDHome Health Aide
NA00605957DCMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1508273228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 STEPPING STONE WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661937",
            "telephone_number": "240-581-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14412 STEPPING STONE WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661937",
            "telephone_number": "240-581-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWANKAM",
        "first_name": "ALAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA10566",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "NA00605957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.