Sankofa Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SANKOFA HEALTH, LLC

Practice address

300 Main St
Laurel, MD 20707-4114

Phone

(301) 377-0577

NPI assigned

May 24, 2021

Last updated

May 24, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SANKOFA HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Marcus Ponder

Title

Ceo

Phone

(301) 675-9109

Specialties & licenses 1

Addresses

Part of

Sankofa Health

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sankofa Health, LLC

  • Family Nurse Practitioner
  • Laurel, MD
  • NPI 1164046231
  NPPES parent name

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1528633492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074114",
            "telephone_number": "301-377-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074114",
            "telephone_number": "301-377-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANKOFA HEALTH, LLC",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-675-9109"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Robyn Sanborn
• Jacqueline Sanchez, L.AC.
• Maciel Alejandra Sanchez
• Tejal Mukesh Sanghvi, P.T.
• Sankofa Health, LLC
• Aminata H Sankoh
• Adriana Santana, MS
• Ariana Santo Pietro, SLP
• Alice Santoro, LCPC, EDD
• Moni Sanusi

• Psychiatric/Mental Health Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.