Hawa Fofanah, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R214435 Issued in MD

Practice address

1451 Rockville Pike Ste 250
Rockville, MD 20852-1486

Phone

(301) 288-1600

Fax

(301) 517-9276

NPI assigned

Feb 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1679965602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 RESEARCH BLVD # 500-72",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503268",
            "telephone_number": "301-288-1600",
            "fax_number": "301-517-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521486",
            "telephone_number": "301-288-1600",
            "fax_number": "301-517-9276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 Research Blvd Ste 500-72",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503268",
            "country_code": "US",
            "telephone_number": "301-288-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6121 Montrose Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521242",
            "country_code": "US",
            "telephone_number": "301-770-8377",
            "fax_number": "301-816-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOFANAH",
        "first_name": "HAWA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R214435",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R214435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamau Ebire Dillon Foderingham
• Foers Long Term Care Pharmacy
• Hawa Fofana
• Kadiatou Fofana
• Haja Fofanah
• Sallay Fofanah
• Kevine Valdess Fokam Mekamdem
• Angela Fokam
• Dotun Folayan
• Debra Lynn Folden, PA

• Psychiatric/Mental Health Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.