Individual provider Active NPI

Michael Nkafu

  • Community Health Registered Nurse
  • Randallstown, MD
National Provider Identifier
1962090779
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R159225 Issued in MD
Practice address
18 Adrianne CT
Randallstown, MD 21133-4347
Phone
(443) 345-7072
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X D21043260 MD
Home Health Registered Nurse 163WH0200X R159225 MD
Infusion Therapy Registered Nurse 163WI0500X D21043260 MD
Infusion Therapy Registered Nurse 163WI0500X R159225 MD
Wound Care Registered Nurse 163WW0000X R159225 MD
Adult Companion 372600000X D21043260 MD
Adult Companion 372600000X R159225 MD
Personal Care Attendant 3747P1801X D21043260 MD
Personal Care Attendant 3747P1801X R159225 MD
Home Health Aide 374U00000X D21043260 MD
Home Health Aide 374U00000X R159225 MD
Community Health Registered Nurse 163WC1500X R159225 MD Primary

Addresses

Primary practice location

18 Adrianne CT
Randallstown, MD 21133-4347

Mailing address

18 Adrianne CT
Randallstown, MD 21133-4347
Phone (443) 345-7072

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

LicenseStateTypeSpecialty
D21043260MDMDPersonal Care Attendant
R159225MDMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Amity Health Care Services, Inc. CurrentSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1962090779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ADRIANNE CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334347",
            "telephone_number": "443-345-7072",
            "fax_number": "443-431-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ADRIANNE CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334347",
            "telephone_number": "443-345-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKAFU",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "D21043260",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R159225",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "MD",
            "license": "D21043260",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "MD",
            "license": "R159225",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MD",
            "license": "R159225",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MD",
            "license": "D21043260",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MD",
            "license": "R159225",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MD",
            "license": "D21043260",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MD",
            "license": "R159225",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "D21043260",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R159225",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R159225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.