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THEODORE BENYELLA FOMUNYAM
NPI 1952101719
Case Manager/Care Coordinator in Washington, DC

Active since March 19, 2025
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019(202) 839-5310(202) 810-9189 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2025, Mar 19, 2025 (2 updates tracked since 2025).

About Theodore Benyella Fomunyam NPPES

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

THEODORE BENYELLA FOMUNYAM (NPI 1952101719) is an individual case manager/care coordinator provider in Washington, District Of Columbia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1952101719
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTHEODORE BENYELLA FOMUNYAM
Location Address2918 MINNESOTA AVE SEWashington, DC 20019-1127
Mailing Address10419 Stone Pine AveWaldorf, MD 20603-5797 · (301) 851-1176
Phone(202) 839-5310
Fax(202) 810-9189
Sole ProprietorYes
Enumeration DateMarch 19, 2025
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1952101719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2918 MINNESOTA AVE SE, Washington, DC 20019
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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.

MS. TRAQUESHA CHEEK RC
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (202) 638-9429
GERMAIN EKOUME GE
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (202) 839-5310
ANSHELEQUA HUDSON
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (832) 330-4926
CLINTON FRU NINGO
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (202) 839-5310
KHADIJATU DEENSIE
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (240) 204-0297
BREYON JACKSON
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (310) 462-2625
ALEXIS SIMPSON
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (202) 880-9934
IRIANA NICHOLAS
Case Manager/Care Coordinator
2918 MINNESOTA AVE SE
WASHINGTON, DC 20019
District of Columbia (346) 821-2071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Fomunyam's NPI number?

The NPI number for Theodore Fomunyam is 1952101719. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Theodore Fomunyam located?

Theodore Fomunyam practices at 2918 Minnesota Ave SE, Washington, DC 20019. The listed phone number is (202) 839-5310.

What is Theodore Fomunyam's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Fomunyam was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.