Active NPI
Cassandra Paulette Coleman
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1043870603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- ACTIVE
- Practice address
- 1310 6TH St NW Apt 102
Washington, DC 20001-3495 - Phone
- (202) 234-7414
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 | ACTIVE | DC | Primary |
Addresses
Primary practice location
1310 6TH St NW Apt 102
Washington, DC 20001-3495
Mailing address
661 Brandywine St SE
Washington, DC 20032-3658
Phone (240) 481-6966
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 |
|---|---|---|---|
| ACTIVE | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1043870603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 BRANDYWINE ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200323658",
"telephone_number": "240-481-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 6TH ST NW APT 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013495",
"telephone_number": "202-234-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CASSANDRA",
"middle_name": "PAULETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "ACTIVE",
"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 Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.