Individual provider Active NPI

Stella M Akinbolusere

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1770837403
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA5977 Issued in DC
Practice address
7600 Georgia Avenue
Washington, DC 20012
Phone
(202) 723-3060
Fax
(202) 723-3065
NPI assigned
Nov 2, 2012
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
HHA5977DCMDHome Health Aide

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Home Health Aide 374U00000X HHA5977 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

7600 Georgia Avenue
Washington, DC 20012

Mailing address

7600 Georgia Avenue
Washington, DC 20012
Phone (202) 723-3060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2015.

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1770837403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVENUE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20012",
            "telephone_number": "202-723-3060",
            "fax_number": "202-723-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVENUE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20012",
            "telephone_number": "202-723-3060",
            "fax_number": "202-723-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINBOLUSERE",
        "first_name": "STELLA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA5977",
            "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 Oct 27, 2015; 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.