Individual provider Active NPI

Rafiat Adetola Akindele

  • General Practice Registered Nurse
  • Greenbelt, MD
National Provider Identifier
1588094338
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN1052060 Issued in DC
Practice address
7806 Hanover Pkwy Apt 303
Greenbelt, MD 20770-2617
Phone
(240) 328-7122
Fax
(301) 345-1241
NPI assigned
Nov 14, 2013
Reactivated
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 HHA9656 DC
General Practice Registered Nurse 163WG0000X RN1052060 DC Primary

Addresses

Primary practice location

7806 Hanover Pkwy Apt 303
Greenbelt, MD 20770-2617

Mailing address

7806 Hanover Pkwy Apt 303
Greenbelt, MD 20770-2617
Phone (240) 339-4722

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
RN1052060DCMDGeneral Practice Registered Nurse
HHA9656DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1588094338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 HANOVER PKWY APT 303",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702617",
            "telephone_number": "240-339-4722",
            "fax_number": "301-345-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 HANOVER PKWY APT 303",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702617",
            "telephone_number": "240-328-7122",
            "fax_number": "301-345-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINDELE",
        "first_name": "RAFIAT",
        "middle_name": "ADETOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "deactivation_date": "2020-09-28",
        "reactivation_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA9656",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "DC",
            "license": "RN1052060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.