Active NPI
Carmen Elleese Johnson
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1033915673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 4077771
- Practice address
- 130 M St NE Apt 416
Washington, DC 20002-7910 - Phone
- (202) 817-6635
- NPI assigned
- Feb 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 4077771 | DC | Primary |
Addresses
Primary practice location
130 M St NE Apt 416
Washington, DC 20002-7910
Mailing address
130 M St NE Apt 416
Washington, DC 20002-7910
Phone (202) 817-6635
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 |
|---|---|---|---|
| 4077771 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1033915673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 M ST NE APT 416",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027910",
"telephone_number": "202-817-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 M ST NE APT 416",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027910",
"telephone_number": "202-817-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARMEN",
"middle_name": "ELLEESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "4077771",
"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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.