Fatmata Tina Jalloh-Chamberlain, REGESTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R166971 Issued in MD

Practice address

12606 Nichols Promise Dr
Bowie, MD 20720-5602

Phone

(301) 464-5300

Fax

(301) 464-5301

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flawless Home Health Service, LLC

  • Home Health Agency
  • Bowie, MD
  • NPI 1750936118
  NPD (past) Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1952872244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 NICHOLS PROMISE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205602",
            "telephone_number": "202-309-4674",
            "fax_number": "301-464-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 NICHOLS PROMISE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205602",
            "telephone_number": "301-464-5300",
            "fax_number": "301-464-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOH-CHAMBERLAIN",
        "first_name": "FATMATA",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "REGESTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R166971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Marie Jadwisiak
• Jae3 Health and Wellness LLC
• Kpumbu Jaidzeka
• Falilatu Jaiyeola
• Kyle Jakes
• Chernojoh Rose Jalloh
• Isatu Ashmia Jalloh
• Kadie Ballah Jalloh, CRNP
• Kariatu Jalloh
• Khadija Bambay Jalloh

• Registered Nurse in Bowie, MD
• Providers in Bowie, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.