Individual provider Active NPI

Isabelle Judith Youmssi Fotso

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1063908366
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13781 Issued in DC
Practice address
6813 Riggs Manor Dr Apt 304
Hyattsville, MD 20783-6923
Phone
(646) 983-6071
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 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 HHA13781 DC Primary

Addresses

Primary practice location

6813 Riggs Manor Dr Apt 304
Hyattsville, MD 20783-6923

Mailing address

6813 Riggs Manor Dr Apt 304
Hyattsville, MD 20783-6923
Phone (646) 983-6071

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
HHA13781DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1063908366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 RIGGS MANOR DR APT 304",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207836923",
            "telephone_number": "646-983-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 RIGGS MANOR DR APT 304",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207836923",
            "telephone_number": "646-983-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUMSSI FOTSO",
        "first_name": "ISABELLE JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.