Individual provider Active NPI

Adama Hawa Bah

  • Licensed Practical Nurse
  • Phila, PA
National Provider Identifier
1811262058
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN282540 Issued in PA
Practice address
2146 S Broad St
2ND FL
Phila, PA 19145-3905
Phone
(267) 519-0672
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
PN282540PAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Family Care Services Inc. Licensed Practical Nurse Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN282540 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2146 S Broad St
2ND FL
Phila, PA 19145-3905

Mailing address

2146 S Broad St
2ND FL
Phila, PA 19145-3905

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2012.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1811262058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 S BROAD ST",
            "address_2": "2ND FL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 S BROAD ST",
            "address_2": "2ND FL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453905",
            "telephone_number": "267-519-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAH",
        "first_name": "ADAMA",
        "middle_name": "HAWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN282540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.