Individual provider Active NPI

Antoinette Hazumutima Bangamwabo

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1114859097
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HAA200006277 Issued in DC
Practice address
9622 Weshire Dr
Upper Marlboro, MD 20774-2701
Phone
(202) 240-7213
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 HAA200006277 DC Primary

Addresses

Primary practice location

9622 Weshire Dr
Upper Marlboro, MD 20774-2701

Mailing address

9622 Weshire Dr
Upper Marlboro, MD 20774-2701
Phone (202) 240-7213

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
HAA200006277DCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1114859097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9622 WESHIRE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742701",
            "telephone_number": "202-240-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 WESHIRE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742701",
            "telephone_number": "202-240-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGAMWABO",
        "first_name": "ANTOINETTE",
        "middle_name": "HAZUMUTIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HAA200006277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.