Individual provider Active NPI

Annie Nguimateu

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1003351396
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12552 Issued in DC
Practice address
953 E West Hwy
Apt 24
Takoma Park, MD 20912-5927
Phone
(240) 505-6017
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA12552 DC Primary

Addresses

Primary practice location

953 E West Hwy
Apt 24
Takoma Park, MD 20912-5927

Mailing address

953 E West Hwy
Apt 24
Takoma Park, MD 20912-5927
Phone (240) 505-6017

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

LicenseStateTypeSpecialty
HHA12552DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1003351396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 E WEST HWY",
            "address_2": "APT 24",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125927",
            "telephone_number": "240-505-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 E WEST HWY",
            "address_2": "APT 24",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125927",
            "telephone_number": "240-505-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUIMATEU",
        "first_name": "ANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.