Individual provider Active NPI

Renee Tweneboah-Koduah, DNP, FNP-C

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1992930119
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1040768 Issued in DC
Practice address
2150 Pennsylvania Ave NW
9TH Floor Suite 9-400 Mfa-Department of Neurology
Washington, DC 20037-3201
Phone
(202) 741-2700
Fax
(202) 741-2722
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1040768 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW
9TH Floor Suite 9-400 Mfa-Department of Neurology
Washington, DC 20037-3201

Mailing address

15530 E.Center Avenue
Apt#G201
Aurora, CO 80017

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1040768DCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1992930119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 E.CENTER AVENUE",
            "address_2": "APT#G201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "9TH FLOOR SUITE 9-400 MFA-DEPARTMENT OF NEUROLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-2700",
            "fax_number": "202-741-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWENEBOAH-KODUAH",
        "first_name": "RENEE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1040768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.