Individual provider Active NPI

Janelle Nnenna Akomah

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1841660024
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187517 Issued in MD
Practice address
3233 Superior LN Ste B4
Bowie, MD 20715-1940
Phone
(301) 615-1135
Fax
(301) 576-8541
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R187517 MD Primary

Addresses

Primary practice location

3233 Superior LN Ste B4
Bowie, MD 20715-1940

Mailing address

10801 Lariat Way
Upper Marlboro, MD 20772-9136
Phone (301) 615-1135

Other practice location 1

10335 Kensington Pkwy
Suite G
Kensington, MD 20895-3359
Phone (240) 744-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001355 DC Practitioner - Nurse Practitioner 1557662871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: janelle.akomah.1@28492.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1841660024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LARIAT WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729136",
            "telephone_number": "301-615-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 SUPERIOR LN STE B4",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151940",
            "telephone_number": "301-615-1135",
            "fax_number": "301-576-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10335 Kensington Pkwy",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208953359",
            "country_code": "US",
            "telephone_number": "240-744-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKOMAH",
        "first_name": "JANELLE",
        "middle_name": "NNENNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.