MRS. ELIZABETH FORMUKONG
NPI 1154929305
Case Manager/Care Coordinator in Washington, DC

Q: What is Elizabeth Formukong's NPI number?

The NPI number for Elizabeth Formukong is 1154929305. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Q: What is Elizabeth Formukong's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since October 10, 2020

2759 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032(202) 827-9961(202) 827-9963 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2025, Oct 10, 2020 (2 updates tracked since 2020).

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About Mrs. Elizabeth Formukong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELIZABETH FORMUKONG (NPI 1154929305) is an individual case manager/care coordinator provider in Washington, District Of Columbia and active in the NPI registry since October 2020. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1154929305

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMRS. ELIZABETH FORMUKONG

Location Address2759 MARTIN LUTHER KING JR AVE SEWashington, DC 20032-2646

Mailing Address1510 Mississippi Ave SeWashington, DC 20032-4431

Phone(202) 827-9961

Fax(202) 827-9963

Sole ProprietorYes

Enumeration DateOctober 10, 2020

Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1154929305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedHome Health AideTaxonomy 374U00000X

2759 MARTIN LUTHER KING JR AVE SE, Washington, DC 20032

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Secondary Practice Location 1

Location 11510 Mississippi Ave SEWashington, DC 20032-4431 · Phone (202) 716-3966

Other Identifiers 1

Medicaid70931318DC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LLOYTAISA KINGSBURY

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