Active NPI
Odette Engwali Forkwa I
- Community Health Worker
- Landover Hills, MD
National Provider Identifier
1598119455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4083 Warner Ave Apt C2
Landover Hills, MD 20784-1943 - Phone
- (240) 467-6096
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- 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 Worker | 172V00000X | Primary | ||
| Home Health Aide | 374U00000X | HHA11957 | DC |
Addresses
Primary practice location
4083 Warner Ave Apt C2
Landover Hills, MD 20784-1943
Mailing address
4083 Warner Ave Apt C2
Landover Hills, MD 20784-1943
Phone (240) 467-6096
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 |
|---|---|---|---|
| HHA11957 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1598119455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4083 WARNER AVE APT C2",
"city": "LANDOVER HILLS",
"state": "MD",
"postal_code": "207841943",
"telephone_number": "240-467-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4083 WARNER AVE APT C2",
"city": "LANDOVER HILLS",
"state": "MD",
"postal_code": "207841943",
"telephone_number": "240-467-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORKWA",
"first_name": "ODETTE",
"middle_name": "ENGWALI",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA11957",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landover Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.