Abdul Conteh

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002079205 Issued in VA

Practice address

16492 Plumage Eagle St
Woodbridge, VA 22191-6399

Phone

(703) 839-2467

NPI assigned

Mar 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1770168593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16493 PLUMAGE EAGLE ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16492 PLUMAGE EAGLE ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916399",
            "telephone_number": "703-839-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTEH",
        "first_name": "ABDUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002079205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KLACS",
            "identifier": "86-2589470",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Conner, PSY.D.
• Diane Mary Conness-Jablonski, O.D.
• Connexa DME Corporation
• Jean-Andre Constant, LCSW
• Kadija Conteh-Barrat
• Fatmata Conteh
• Continental Dialysis Centers Inc
• Continew Enterprises Corp
• Continew Enterprises Corp
• Eleanor Cooney, RN CPNP

• Licensed Practical Nurse in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.