Marie Gaille Fankep Djomo

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA14905 Issued in DC

Practice address

6735 New Hampshire Ave Apt 913
Takoma Park, MD 20912-2833

Phone

(240) 758-1867

NPI assigned

Dec 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1528607405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE APT 913",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122833",
            "telephone_number": "240-758-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE APT 913",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122833",
            "telephone_number": "240-758-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKEP DJOMO",
        "first_name": "MARIE GAILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Fabiyi
• Batomen Marcelle Fabo I, D
• Sekou Fahnbulleh
• Faith Health Care and Medical Supply
• Beryl Sandra Fani
• Ayan Saleh Farah, M.D.
• Jackelyn R Farrell, P.A.
• Maren Farris, MSED BCBA
• Oluwatosin Fashola
• Fayaz a. Shawl, MD, PA

• Home Health Aide in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.