Christelle K Kenfack Soadeu

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

702 15TH St NE
Washington, DC 20002-4508

Phone

(202) 388-8500

NPI assigned

Jun 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christelle K Kenfack Soadeu Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amazing Love Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1730567991
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1700628989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 ASCOT LN APT 31",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081571",
            "telephone_number": "301-979-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024508",
            "telephone_number": "202-388-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENFACK SOADEU",
        "first_name": "CHRISTELLE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTELLE",
            "last_name": "KENFACK SOADEU",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Keneally, MD
• Laura E Kenealy, PHD
• Mary Elizabeth Kenel, PHD
• Sara K Keneni
• Elizabeth Leanne Kenez, M.D.
• Olivete Enouk Keng
• Rachel Kengle
• Martine Kengne Epse Tagne
• Evelyn Yolande Kengne-Sakepa
• Brigitte Kengne

• Community Health Worker in Washington, DC
• Providers in Washington, DC by specialty
• Community Health Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.