Active NPI
Elizabeth Kongnyang
- Home Health Aide
- Mount Rainier, MD
National Provider Identifier
1013366079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12129
- Practice address
- 3334 Buchanan St
Apt. 303
Mount Rainier, MD 20712-1123 - Phone
- (240) 716-9208
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA12129 | DC | Primary |
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
3334 Buchanan St
Apt. 303
Mount Rainier, MD 20712-1123
Mailing address
3334 Buchanan St
Apt. 303
Mount Rainier, MD 20712-1123
Phone (240) 716-9208
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 |
|---|---|---|---|
| HHA12129 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1013366079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 BUCHANAN ST",
"address_2": "APT. 303",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207121123",
"telephone_number": "240-716-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 BUCHANAN ST",
"address_2": "APT. 303",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207121123",
"telephone_number": "240-716-9208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONGNYANG",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12129",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Rainier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.