Aka Prodentia Nkematabong, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704280238 Issued in MI

Practice address

20436 Northlawn St
Detroit, MI 48221-1156

Phone

(313) 402-6348

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M&a Es Llcsquare Non Medical Health Servic

  • Health Service Clinic/Center
  • Detroit, MI
  • NPI 1598647059
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1619734704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20436 NORTHLAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211156",
            "telephone_number": "313-402-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20436 NORTHLAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211156",
            "telephone_number": "313-402-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEMATABONG",
        "first_name": "AKA",
        "middle_name": "PRODENTIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704280238",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704280238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Njeim, M.D
• Kumba Njie, M.D
• Ngozi Njoku
• Harun Njuguna
• Carnot Njutapvoui Ntafam, MD
• Musona Biya Nkulu
• Catherine Josephine Nkuta, RN
• Ebesoh Dexter Nkwenya, MD
• No Better Love LLC
• Regina T Noack, M.D.

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.