Individual provider Active NPI

Gaetan Wadjie Tchamadjeu

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1073041323
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12754 Issued in DC
Practice address
820 Upshur St NW
Washington, DC 20011-5837
Phone
(202) 723-0304
Fax
(202) 723-0367
NPI assigned
May 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 HHA12754 DC Primary

Addresses

Primary practice location

820 Upshur St NW
Washington, DC 20011-5837

Mailing address

4516 Fort Totten Dr NE Apt 7
Washington, DC 20011-7523
Phone (202) 394-7567

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
HHA12754DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Nursing Services Inc PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073041323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 FORT TOTTEN DR NE APT 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117523",
            "telephone_number": "202-394-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 UPSHUR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115837",
            "telephone_number": "202-723-0304",
            "fax_number": "202-723-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADJIE TCHAMADJEU",
        "first_name": "GAETAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12754",
            "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 Jul 21, 2022; 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.