Individual provider Active NPI

Esther Kiimoh, CNA, HHA

  • Nurse's Aide
  • Adelphi, MD
National Provider Identifier
1043693591
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
607024 Issued in DC
Practice address
2603 Muskogee St
Adelphi, MD 20783
Phone
(240) 432-9624
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA11469 DC
Nurse's Aide 376K00000X 607024 DC Primary

Addresses

Primary practice location

2603 Muskogee St
Adelphi, MD 20783

Mailing address

2603 Muskogee St
Adelphi, MD 20783-1426
Phone (240) 432-9624

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
HHA11469DCMDHome Health Aide
607024DCMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1043693591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MUSKOGEE ST",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831426",
            "telephone_number": "240-432-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MUSKOGEE ST",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "20783",
            "telephone_number": "240-432-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIIMOH",
        "first_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "CNA, HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11469",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "607024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.