Individual provider Active NPI

Elise Loveline Djunkep

  • Nurse's Aide
  • Burtonsville, MD
National Provider Identifier
1134893266
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00166533 Issued in MD
Practice address
3922 Blackburn LN Apt 13
Burtonsville, MD 20866-1265
Phone
(917) 774-1381
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00166533 MD Primary

Addresses

Primary practice location

3922 Blackburn LN Apt 13
Burtonsville, MD 20866-1265

Mailing address

3922 Blackburn LN Apt 13
Burtonsville, MD 20866-1265
Phone (917) 774-1381

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
A00166533MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1134893266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 BLACKBURN LN APT 13",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661265",
            "telephone_number": "917-774-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 BLACKBURN LN APT 13",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661265",
            "telephone_number": "917-774-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJUNKEP",
        "first_name": "ELISE",
        "middle_name": "LOVELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00166533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.