Individual provider Active NPI

Mary A. Fosu, RN, BSN

  • Home Health Registered Nurse
  • Woodlawn, MD
National Provider Identifier
1881892875
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
126594 Issued in MD
Practice address
1811 Woodlawn Dr
Woodlawn, MD 21207-4008
Phone
(410) 887-1332
Fax
(410) 887-1386
NPI assigned
Jul 11, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 126594 MD Primary

Addresses

Primary practice location

1811 Woodlawn Dr
Woodlawn, MD 21207-4008

Mailing address

1811 Woodlawn Dr
Woodlawn, MD 21207-4008
Phone (410) 887-1332

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
126594MDMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1881892875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WOODLAWN DR",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074008",
            "telephone_number": "410-887-1332",
            "fax_number": "410-887-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WOODLAWN DR",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074008",
            "telephone_number": "410-887-1332",
            "fax_number": "410-887-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSU",
        "first_name": "MARY",
        "middle_name": "A.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "126594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.