Tope Ogunrinde
Individual provider Active NPI Community Health Worker · Hyattivilles, MD
NPI 1508315474 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1508315474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- HHA12197 (DC)
- Practice address
- 3553 55TH Avenue Apt6 Hyattivilles
Hyattivilles, MD 20784 - Phone
- (240) 495-9584
- NPI assigned
- Oct 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA12197 | DC | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | HHA12197 | DC | Yes |
Addresses
Primary practice location
3553 55TH Avenue Apt6 Hyattivilles
Hyattivilles, MD 20784
Mailing address
3553 55TH Avenue Apt6 Hyattivilles
Hyattivilles, MD 20784
Phone (240) 495-9584
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.