Active NPI
Michael Nkafu
- Community Health Registered Nurse
- Randallstown, MD
National Provider Identifier
1962090779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- R159225
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D21043260 | MD | MD | Personal Care Attendant |
| R159225 | MD | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amity Health Care Services, Inc. | Current | 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.
-
- Home Health Agency
- Randallstown, MD
- NPI 1780275222
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.