Individual provider Active NPI

Fnu Ndum Sendela Timben Epse Teb

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1043798390
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13831 Issued in DC
Practice address
1511 Franklin St NE Apt 510
Washington, DC 20018-2054
Phone
(240) 906-1284
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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 HHA13831 DC Primary

Addresses

Primary practice location

1511 Franklin St NE Apt 510
Washington, DC 20018-2054

Mailing address

2512 24TH St NE
Washington, DC 20018-2126
Phone (202) 832-8340

Other practice location 1

1511 Franklin St NE Apt 510
Washington, DC 20018-2054
Phone (240) 906-1284

Other names 1

  • Fnu Ndum Sendela Timben Epse Teb Other name

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
HHA13831DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1043798390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 24TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182126",
            "telephone_number": "202-832-8340",
            "fax_number": "202-832-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 FRANKLIN ST NE APT 510",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182054",
            "telephone_number": "240-906-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Franklin St NE Apt 510",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200182054",
            "country_code": "US",
            "telephone_number": "240-906-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUM SENDELA TIMBEN EPSE TEB",
        "first_name": "FNU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FNU",
            "last_name": "NDUM SENDELA TIMBEN EPSE TEB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 21, 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.