MRS. ELIZABETH FORMUKONG (NPI# 1154929305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154929305 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH FORMUKONG |
| Practice Address |
1510 Mississippi Ave Se Washington DC 20032-4431 |
| Practice Telephone | 2027163966 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | DC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 70931318 | 05 |
| Street Address |
1510 MISSISSIPPI AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285155 | Dionne L Giles-dicks | Home Health Aide | 610 Allison St Ne, Washington, DC 20017-2213 | 2020-11-03 |
| 1710588256 | Sharita C. Slayton | Home Health Aide | 918 42nd St Ne, Washington, DC 20019-1932 | 2020-11-02 |
| 1407456445 | Beverly Day | Home Health Aide | 900 G St Ne Apt 424, Washington, DC 20002-7414 | 2020-10-29 |
| 1861091449 | John Williams | Home Health Aide | 2852 23rd Pl Se Apt 304, Washington, DC 20020-7961 | 2020-10-23 |
| 1154920700 | Montina Holland | Home Health Aide | 2906 Naylor Rd Se Apt A153, Washington, DC 20020-2646 | 2020-10-23 |
| 1568061554 | Hassie Leon Merritt | Home Health Aide | 2515 Alabama Ave Se Apt 214, Washington, DC 20020-3240 | 2020-10-20 |
| 1891393476 | Tyrone Lewis | Home Health Aide | 325 P St Sw, Washington, DC 20024-2910 | 2020-10-15 |
| 1255939823 | Gary Anthony Dugger | Home Health Aide | 1357 Spring Rd Nw, Washington, DC 20010-1324 | 2020-10-15 |
| 1760080311 | Mercedes Virginia Horsey | Home Health Aide | 531 G St Sw Apt 102, Washington, DC 20024-2748 | 2020-10-15 |
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on MRS. ELIZABETH FORMUKONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.