Active NPI
Amos Enahoro
- Registered Nurse
- Washington, DC
National Provider Identifier
1881930568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1040785
- Practice address
- 439 Oneida PL NW
Washington, DC 20011-2150 - Phone
- (202) 291-7226
- Fax
- (202) 291-4009
- NPI assigned
- Dec 27, 2012
- Last updated
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Agency | 251E00000X | |||
| Registered Nurse | 163W00000X | RN1040785 | DC | Primary |
Addresses
Primary practice location
439 Oneida PL NW
Washington, DC 20011-2150
Mailing address
7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616
Phone (202) 723-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061400 | Medicaid | DC |
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 |
|---|---|---|---|
| RN1040785 | DC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1881930568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 GEORGIA AVE NW STE 323",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121616",
"telephone_number": "202-723-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 ONEIDA PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112150",
"telephone_number": "202-291-7226",
"fax_number": "202-291-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENAHORO",
"first_name": "AMOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-27",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1040785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061400",
"state": "DC"
}
],
"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 Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.