Active NPI
Idris Paramole
- Student in an Organized Health Care Education/Training Program
- Cheverly, MD
National Provider Identifier
1083078372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- HHA11753
- Practice address
- 6409 Landover Rd
Apt 102
Cheverly, MD 20785-1406 - Phone
- (301) 851-9896
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | HHA11753 | DC | Primary |
Addresses
Primary practice location
6409 Landover Rd
Apt 102
Cheverly, MD 20785-1406
Mailing address
6409 Landover Rd
Apt 102
Cheverly, MD 20785-1406
Phone (301) 851-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064071499 | Other | HOME HEALTH AIDE |
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 |
|---|---|---|---|
| HHA11753 | DC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1083078372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6409 LANDOVER RD",
"address_2": "APT 102",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851406",
"telephone_number": "301-851-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6409 LANDOVER RD",
"address_2": "APT 102",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851406",
"telephone_number": "301-851-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAMOLE",
"first_name": "IDRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "HHA11753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AIDE",
"identifier": "064071499",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.