Active NPI
Anuoluwapo Enitan Adegbesan
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1629339486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 114 50TH St NE
Washington, DC 20019-5307 - Phone
- (202) 840-9776
- NPI assigned
- Jun 7, 2012
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | DC | ||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
114 50TH St NE
Washington, DC 20019-5307
Mailing address
2322 Brightseat Rd Apt 7
Landover, MD 20785-3558
Phone (202) 423-0153
Other practice location 1
2322 Brightseat Rd Apt 7
Landover, MD 20785-3558
Phone (202) 423-0153
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1629339486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 BRIGHTSEAT RD APT 7",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207853558",
"telephone_number": "202-423-0153",
"fax_number": "202-722-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 50TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195307",
"telephone_number": "202-840-9776"
}
],
"practiceLocations": [
{
"address_1": "2322 Brightseat Rd Apt 7",
"address_purpose": "LOCATION",
"city": "Landover",
"state": "MD",
"postal_code": "207853558",
"country_code": "US",
"telephone_number": "202-423-0153",
"fax_number": "202-722-7785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEGBESAN",
"first_name": "ANUOLUWAPO",
"middle_name": "ENITAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"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 Jun 5, 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.