Individual provider Active NPI

Fri Nwei Fon I, HHA

  • Case Manager/Care Coordinator
  • Beltsville, MD
National Provider Identifier
1669913240
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
11457 Cherry Hill Rd
11457 Cherry Hill Rd
Beltsville, MD 20705-3607
Phone
(404) 775-0544
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 12674 DC
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

11457 Cherry Hill Rd
11457 Cherry Hill Rd
Beltsville, MD 20705-3607

Mailing address

11457 Cherry Hill Rd
11457 Cherry Hill Rd
Beltsville, MD 20705-3607
Phone (404) 775-0544

Other names 1

  • Miss Fri Nwei Fon I Professional name

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

LicenseStateTypeSpecialty
12674DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1669913240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11457 CHERRY HILL RD",
            "address_2": "11457 CHERRY HILL RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053607",
            "telephone_number": "404-775-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11457 CHERRY HILL RD",
            "address_2": "11457 CHERRY HILL RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053607",
            "telephone_number": "404-775-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FON",
        "first_name": "FRI",
        "middle_name": "NWEI",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "12674",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRI",
            "last_name": "FON",
            "middle_name": "NWEI",
            "prefix": "MISS",
            "suffix": "I",
            "credential": "HHA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.