The 1091 Group

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE 1091 GROUP

Practice address

5810 Kingstowne Center Drive
#120-146
Alexandria, VA 22315-5711

Phone

(703) 798-7826

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ibrahim Tejan Kargbo, M.P.H

Title

Founder/Owner

Phone

(703) 798-7826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1669809737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 KINGSTOWNE CENTER DRIVE",
            "address_2": "#120-146",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 KINGSTOWNE CENTER DRIVE",
            "address_2": "#120-146",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155711",
            "telephone_number": "703-798-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 1091 GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "TEJAN",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "703-798-7826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.H"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Alexandria, VA
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• Health Educator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.