MR. KELLIE FAGBOWA MARAH (NPI# 1821544818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821544818 |
| Entity Type | Individual |
| Full Name | MR. KELLIE FAGBOWA MARAH |
| Practice Address |
1010 Wisconsin Ave Nw Washington DC 20007-3603 |
| Mailing Address |
6529 Landover Rd Apt 102 Cheverly MD 20785-1429 |
| Practice Telephone | 2029558355 |
| Practice Fax Number | 7037538793 |
| Mailing Telephone | 2407061658 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN1028482 | DC | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R203641 | MD | Nursing Service Providers |
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN1028482 | DC | Nursing Service Providers |
| Street Address |
1010 WISCONSIN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174631584 | Susan B Diamond | Counselor | 1010 Wisconsin Ave Nw, Suite 515, Washington, DC 20007-3603 | 2006-08-26 |
| 1346690443 | Scarlet Oak Acupuncture | Acupuncturist | 1010 Wisconsin Ave Nw, Suite 280, Washington, DC 20007-3603 | 2016-06-20 |
| 1437509593 | Thomas Wright | Registered Nurse | 1010 Wisconsin Ave Nw, Suite 300, Washington, DC 20007-3603 | 2016-06-20 |
| 1932572823 | Kristen H Quigley | Counselor | 1010 Wisconsin Ave Nw, Suite 505, Washington, DC 20007-3603 | 2015-11-02 |
| 1811365711 | Cynthia Carroll | Home Health Aide | 1010 Wisconsin Ave Nw, Suite 300, Washington, DC 20007-3603 | 2015-09-09 |
| 1871960567 | Professional Healthcare | Home Health | 1010 Wisconsin Ave Nw, Washington, DC 20007-3603 | 2015-08-28 |
| 1760866099 | Danielle C Jackson | Home Health Aide | 1010 Wisconsin Ave Nw, Suit 300, Washington, DC 20007-3603 | 2015-07-16 |
| 1447633300 | Delores Taylor | Home Health Aide | 1010 Wisconsin Ave Nw, 300, Washington, DC 20007-3603 | 2015-07-09 |
| 1164835500 | Mary Hume | Registered Nurse | 1010 Wisconsin Ave Nw, Suite300, Washington, DC 20007-3603 | 2014-06-03 |
| 1780096016 | Johnathan Lee | Registered Nurse | 1010 Wisconsin Ave Nw, Washington, DC 20007-3603 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838945 | Teras G. Flowers | Registered Nurse | 337 34th St Ne, Washington, DC 20019-1409 | 2020-10-14 |
| 1346868072 | Stella Uche Odidika | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-07-09 |
| 1093338345 | Dejanet Lantion | Registered Nurse | 2121 I St Nw, Washington, DC 20052-0086 | 2020-05-21 |
| 1013554237 | Sofia Kafula | Registered Nurse | 6856 Eastern Ave Nw, Washington, DC 20012-2165 | 2019-12-06 |
| 1306303565 | Tyane M Calhoun | Registered Nurse | 102 Irving St Nw, Washington, DC 20010-2921 | 2019-02-25 |
| 1093288532 | Nyediang Salome Ateghang | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2019-01-08 |
| 1336329093 | Lisa Crosier | Registered Nurse | 50 Irving St Nw, Va Medical Center, Washington, DC 20422-0001 | 2007-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275081655 | Rachael Antone | Registered Nurse | 238 Brookley Ave Sw, Bolling Afb, DC 20032-7704 | 2016-09-14 |
| City | WASHINGTON |
| Zip Code | 20007 |
Please comment or provide details below to improve the information on MR. KELLIE FAGBOWA MARAH.
| 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.