Active NPI
Christiana Abengowe
- Licensed Practical Nurse
- Takoma Park, MD
National Provider Identifier
1912590100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP40732
- Practice address
- 605 Hudson Ave Apt 113
Takoma Park, MD 20912-6271 - Phone
- (240) 468-9716
- Fax
- (410) 946-2010
- NPI assigned
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP40732 | MD | Primary |
Addresses
Primary practice location
605 Hudson Ave Apt 113
Takoma Park, MD 20912-6271
Mailing address
605 Hudson Ave Apt 113
Takoma Park, MD 20912-6271
Phone (240) 468-9716
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 |
|---|---|---|---|
| LP40732 | MD | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1912590100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 HUDSON AVE APT 113",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126271",
"telephone_number": "240-468-9716",
"fax_number": "410-946-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HUDSON AVE APT 113",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126271",
"telephone_number": "240-468-9716",
"fax_number": "410-946-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABENGOWE",
"first_name": "CHRISTIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "LP40732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.