Individual provider Active NPI

Kenneth Wirlen, HHA

  • Case Manager/Care Coordinator
  • Bowie, MD
National Provider Identifier
1760746341
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2420 Artesian LN
Bowie, MD 20716-3802
Phone
(301) 613-3463
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Aide 374U00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2420 Artesian LN
Bowie, MD 20716-3802

Mailing address

2420 Artesian LN
Bowie, MD 20716-3802
Phone (301) 613-3463

Other practice location 1

1820 Metzerott Rd Apt 25
Adelphi, MD 20783-5139
Phone (202) 545-0935

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1760746341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ARTESIAN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163802",
            "telephone_number": "301-613-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ARTESIAN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163802",
            "telephone_number": "301-613-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Metzerott Rd Apt 25",
            "address_purpose": "LOCATION",
            "city": "Adelphi",
            "state": "MD",
            "postal_code": "207835139",
            "country_code": "US",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRLEN",
        "first_name": "KENNETH",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.