Active NPI
Gladys Sakwe
- Home Health Aide
- Fayetteville, AR
National Provider Identifier
1780945444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2964 Martin Luther King Junior Boulevard
Fayetteville, AR 72704 - Phone
- (479) 521-5103
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2964 Martin Luther King Junior Boulevard
Fayetteville, AR 72704
Mailing address
1907 Southwest 28TH Street Apt 11
Bentonville, AR 72713
Phone (240) 474-3469
Other practice location 1
1818 New York Av
117 Global Healh Care
Washington, DC 20002
Phone (202) 480-0813
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Bentonville | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2964 W Martin Luther King Jr Blvd
Fayetteville, AR 72704
Phone (479) 521-5103
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Fayetteville, AR
- NPI 1952564205
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1780945444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 SOUTHWEST 28TH STREET APT 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72713",
"telephone_number": "240-474-3469",
"fax_number": "240-474-3469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2964 MARTIN LUTHER KING JUNIOR BOULEVARD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72704",
"telephone_number": "479-521-5103"
}
],
"practiceLocations": [
{
"address_1": "1818 NEW YORK AV",
"address_2": "117 GLOBAL HEALH CARE",
"address_purpose": "LOCATION",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"country_code": "US",
"telephone_number": "202-480-0813",
"fax_number": "202-503-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAKWE",
"first_name": "GLADYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2021-06-21",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bentonville",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2964 Martin Luther King Junior Boulevard",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "72704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.