Individual provider Active NPI

Donna Green

  • Personal Care Attendant
  • Washington, DC
National Provider Identifier
1124736343
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
4339 Bowen Rd SE Apt 206
Washington, DC 20019-5637
Phone
(202) 465-2709
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

4339 Bowen Rd SE Apt 206
Washington, DC 20019-5637

Mailing address

3936 Clay PL NE
Washington, DC 20019-3337
Phone (202) 465-2709

Other practice location 1

3936 Clay Pl NE
Washington, DC 20019-3337
Phone (202) 465-2709

Other practice location 2

3936 Clay Pl NE
Washington, DC 20019-3337
Phone (202) 465-2709

Other identifiers 1

IdentifierTypeStateIssuer
3747P1801XOtherHOME HEALTH CARE AIDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DONNA4256@GMAIL.COM Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1124736343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 CLAY PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193337",
            "telephone_number": "202-465-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 BOWEN RD SE APT 206",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195637",
            "telephone_number": "202-465-2709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3936 Clay Pl NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193337",
            "country_code": "US",
            "telephone_number": "202-465-2709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3936 Clay Pl NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193337",
            "country_code": "US",
            "telephone_number": "202-465-2709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE AIDE",
            "identifier": "3747P1801X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DONNA4256@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3936 Clay Pl NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200193337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 7, 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.