Active NPI
Augustin Fabrice Nguekam
- Registered Nurse
- Washington, DC
National Provider Identifier
1003177486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1056134
- Practice address
- 7600 Georgia Avenie
Washington, DC 20012 - Phone
- (202) 723-3060
- Fax
- (202) 723-3065
- NPI assigned
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | N-225-074-244-577 | MD | |
| Home Health Aide | 374U00000X | HHA4945 | DC | |
| Registered Nurse | 163W00000X | RN1056134 | DC | Primary |
Addresses
Primary practice location
7600 Georgia Avenie
Washington, DC 20012
Mailing address
7600 Georgia Avenie
Washington, DC 20012
Phone (202) 723-3060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1056134 | DC | MD | Registered Nurse |
| HHA4945 | DC | MD | Home Health Aide |
| N-225-074-244-577 | MD | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1003177486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 GEORGIA AVENIE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-723-3060",
"fax_number": "202-723-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 GEORGIA AVENIE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-723-3060",
"fax_number": "202-723-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUEKAM",
"first_name": "AUGUSTIN",
"middle_name": "FABRICE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "N-225-074-244-577",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA4945",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1056134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.