MEDICARE: MS. MISPA AMINKENG LEKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		DC
2	374U00000X	Home Health Aide
3	163W00000X	Registered Nurse	RN1053545	DC

General Provider Information

NPI Number	:	1952666240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MISPA AMINKENG LEKE

Provider Business Mailing Address
First Line	:	2002 OAKWOOD ST
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-4336
Country	:	US
Telephone Number	:	443-929-9479
Fax Number	:

Provider Business Practice Location Address
First Line	:	1628 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-4706
Country	:	US
Telephone Number	:	202-866-7505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2012
Last Update Date	:	07/29/2025

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