Johnson O Kolawole

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA200005883 Issued in DC

Practice address

11486 Samuel Beckett CT
White Plains, MD 20695-4254

Phone

(240) 646-2891

NPI assigned

Oct 30, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1649782764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11486 SAMUEL BECKETT CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954254",
            "telephone_number": "240-646-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11486 SAMUEL BECKETT CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954254",
            "telephone_number": "240-646-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAWOLE",
        "first_name": "JOHNSON",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200005883",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A King, DDS
• Rebecca A Kinuani, BSN, RN
• Tiffany C. Kirkland
• Deborah M Kitts, RN
• Andrew Kneussle, DPT
• Nicole Theresa Konschnik
• Tammy Merriman Kost, RN
• Edith Kratzer, RN
• Kssential Nutrition LLC
• Adenike Kupolati, RPH

• Home Health Aide in White Plains, MD
• Providers in White Plains, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.