Active NPI
Adetayo Adeniyi Awosanya
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1700627650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1221 Taylor St NW
Washington, DC 20011-5617 - Phone
- (202) 464-9200
- Fax
- (202) 291-2160
- NPI assigned
- Jun 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1221 Taylor St NW
Washington, DC 20011-5617
Mailing address
13301 Avebury Dr Apt 32
Laurel, MD 20708-3426
Phone (240) 871-8221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2024.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1700627650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 AVEBURY DR APT 32",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083426",
"telephone_number": "240-871-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 TAYLOR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115617",
"telephone_number": "202-464-9200",
"fax_number": "202-291-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWOSANYA",
"first_name": "ADETAYO",
"middle_name": "ADENIYI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.