Fese E Bokosah

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1032974 Issued in DC

Practice address

2671 Ricker Pond CT
Waldorf, MD 20603-2060

Phone

(240) 463-6359

NPI assigned

Sep 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115
  NPD
• Rahel G. Yirga MD PC

  • Internal Medicine Physician
  • Sterling, VA
  • NPI 1558508184
  NPD

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1801401328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 RICKER POND CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 RICKER POND CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206032060",
            "telephone_number": "240-463-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKOSAH",
        "first_name": "FESE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R205199",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DC",
            "license": "RN1032974",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "1032974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "waldorf",
            "affiliation": "N",
            "address_1": "2671 ricker pond ct",
            "city": "waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206032060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bluefish Behavioral Health
• Anjanette Jaye Blunt
• Crystal Boateng
• Gregory Richard Bob, DDS
• Therese Jean Bohannon, RN
• Grace Bolomope, OTD, OTR/L
• Roberto M. Bonnevie Jr., P.T.
• Taylor A Bordes, DDS
• Michelle D Borrus, D.D.S
• Laurie Ann Bosak, RD

• Registered Nurse in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.