Active NPI
Walter Ngwa Fontah
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1831721174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2027 Martin Luther King Jr Ave SE
Washington, DC 20020-7007 - Phone
- (202) 800-4387
- NPI assigned
- Feb 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 14770 | DC | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2027 Martin Luther King Jr Ave SE
Washington, DC 20020-7007
Mailing address
9216 Hobart St
Springdale, MD 20774-5409
Phone (301) 850-8403
Other practice location 1
2512 24th St NE
Washington, DC 20018-2126
Phone (202) 832-8340
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14770 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1831721174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9216 HOBART ST",
"city": "SPRINGDALE",
"state": "MD",
"postal_code": "207745409",
"telephone_number": "301-850-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207007",
"telephone_number": "202-800-4387"
}
],
"practiceLocations": [
{
"address_1": "2512 24th St NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200182126",
"country_code": "US",
"telephone_number": "202-832-8340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONTAH",
"first_name": "WALTER",
"middle_name": "NGWA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-05",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "14770",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.