Lucas Keminda Ayong

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2010 Rhode Island Ave NE
Washington, DC 20018-2835

Phone

(240) 467-4367

NPI assigned

May 15, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1003343559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE APT 901",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122832",
            "telephone_number": "240-467-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182835",
            "telephone_number": "240-467-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYONG",
        "first_name": "LUCAS",
        "middle_name": "KEMINDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "12733",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maisha-Atrice Ayodele, LPC, LGPC
• Sunday Ezekiel Ayodele, PMHNP
• Taiwo Stella Ayodele
• Victoria Ayodele
• Olaide Ayofemi
• Olivia Ayong
• Rose Acho Ayong
• Timothy Ayong
• Venasia Ayong
• Amede Joioputa Ayoola, LICSW

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.