Individual provider Active NPI

Fatuma Essa Mosa

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1598463796
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
A00182656 Issued in MD
Practice address
10903 New Salem Ave
Upper Marlboro, MD 20774-2308
Phone
(202) 655-9786
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X A00182656 MD Primary

Addresses

Primary practice location

10903 New Salem Ave
Upper Marlboro, MD 20774-2308

Mailing address

10903 New Salem Ave
Upper Marlboro, MD 20774-2308
Phone (202) 655-9786

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
A00182656MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1598463796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 NEW SALEM AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742308",
            "telephone_number": "202-655-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 NEW SALEM AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742308",
            "telephone_number": "202-655-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSA",
        "first_name": "FATUMA",
        "middle_name": "ESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00182656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.