Active NPI
Bismark Amankwaah
- Home Health Registered Nurse
- Wilmington, DE
National Provider Identifier
1508519166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- L1-0069261
- Practice address
- 3604 Miller Rd
Wilmington, DE 19802-2524 - Phone
- (302) 257-1079
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | L1-0069261 | DE | |
| Home Health Registered Nurse | 163WH0200X | L1-0069261 | DE | Primary |
Addresses
Primary practice location
3604 Miller Rd
Wilmington, DE 19802-2524
Mailing address
3604 Miller Rd
Wilmington, DE 19802-2524
Phone (302) 257-1079
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
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0069261 | DE | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1508519166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 MILLER RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022524",
"telephone_number": "302-257-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 MILLER RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022524",
"telephone_number": "302-257-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANKWAAH",
"first_name": "BISMARK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "DE",
"license": "L1-0069261",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "DE",
"license": "L1-0069261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.