Active NPI
Vernessa Fuen Manjoh
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1013485721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4530 Wisconsin Ave NW Ste 300
Washington, DC 20016-4606 - Phone
- (202) 465-4364
- NPI assigned
- Nov 12, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA14096 | DC | |
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
4530 Wisconsin Ave NW Ste 300
Washington, DC 20016-4606
Mailing address
8407 Weed St
Bowie, MD 20720-3692
Phone (240) 918-9600
Other practice location 1
6323 Georgia Ave NW Ste 305
Washington, DC 20011-1141
Phone (202) 506-1209
Other practice location 2
11720 Beltsville Dr # 500A15
Beltsville, MD 20705-3166
Phone (202) 790-8903
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 |
|---|---|---|---|
| HHA14096 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1013485721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8407 WEED ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203692",
"telephone_number": "240-918-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 WISCONSIN AVE NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164606",
"telephone_number": "202-465-4364"
}
],
"practiceLocations": [
{
"address_1": "6323 Georgia Ave NW Ste 305",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200111141",
"country_code": "US",
"telephone_number": "202-506-1209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11720 Beltsville Dr # 500A15",
"address_purpose": "LOCATION",
"city": "Beltsville",
"state": "MD",
"postal_code": "207053166",
"country_code": "US",
"telephone_number": "202-790-8903",
"fax_number": "301-889-9735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANJOH",
"first_name": "VERNESSA",
"middle_name": "FUEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA14096",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 9, 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.