Individual provider Active NPI

Bilikis Mosunmoka Kazeem

  • Home Health Aide
  • Laurel, MD
National Provider Identifier
1992065403
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
K250089609409 Issued in MD
Practice address
7235 Carriage Hill Dr
Laurel, MD 20707-5369
Phone
(240) 704-5279
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X K250089609409 MD Primary

Addresses

Primary practice location

7235 Carriage Hill Dr
Laurel, MD 20707-5369

Mailing address

7235 Carriage Hill Dr
Laurel, MD 20707-5369
Phone (240) 704-5279

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
K250089609409MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1992065403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 CARRIAGE HILL DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075369",
            "telephone_number": "240-704-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 CARRIAGE HILL DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075369",
            "telephone_number": "240-704-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEEM",
        "first_name": "BILIKIS",
        "middle_name": "MOSUNMOKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "K250089609409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.