Individual provider Active NPI

Walter Kweh, LPN

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1104656404
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1004936 Issued in DC
Practice address
1629 K St NW Ste 1100
Washington, DC 20006-1640
Phone
(202) 745-0073
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1004936 DC Primary

Addresses

Primary practice location

1629 K St NW Ste 1100
Washington, DC 20006-1640

Mailing address

6804 Highview Ter Apt 302
Hyattsville, MD 20782-4005

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
LPN1004936DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McClendon Center CurrentSince Aug 4, 2024 Accepting new patients

Locations

1629 K St NW
Ste 1100
Washington, DC 20006
Phone (202) 320-8182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1104656404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 HIGHVIEW TER APT 302",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 1100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061640",
            "telephone_number": "202-745-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWEH",
        "first_name": "WALTER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1004936",
            "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 Aug 2, 2024; 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.