Individual provider Active NPI

Renee Hordge

  • Private Vehicle
  • Washington, DC
National Provider Identifier
1053673350
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
2788341 Issued in DC
Practice address
3420 Stanton Rd SE Apt 203
Washington, DC 20020-2256
Phone
(202) 704-1447
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 2788341 DC Primary

Addresses

Primary practice location

3420 Stanton Rd SE Apt 203
Washington, DC 20020-2256

Mailing address

3420 Stanton Rd SE Apt 203
Washington, DC 20020-2256
Phone (202) 704-1447

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
2788341DCMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1053673350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 STANTON RD SE APT 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202256",
            "telephone_number": "202-704-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 STANTON RD SE APT 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202256",
            "telephone_number": "202-704-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORDGE",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "DC",
            "license": "2788341",
            "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 12, 2012; 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.