Active NPI
Bola G Ahmed
- Nurse Practitioner
- Washington, DC
National Provider Identifier
1619744315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP500015321
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-4300
- Fax
- (202) 388-4339
- NPI assigned
- Dec 4, 2023
- Last updated
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP500015321 | DC | Primary |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
3620 Jeff Rd
Glenarden, MD 20774-2609
Phone (301) 454-9208
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 |
|---|---|---|---|
| NP500015321 | DC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1619744315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 JEFF RD",
"city": "GLENARDEN",
"state": "MD",
"postal_code": "207742609",
"telephone_number": "301-454-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 HUNT PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193565",
"telephone_number": "202-388-4300",
"fax_number": "202-388-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "BOLA",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "NP500015321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.