Active NPI
Mytaya M Deville
- Personal Care Attendant
- Oxon Hill, MD
National Provider Identifier
1144045626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 4860196
- Practice address
- 822 Maury Ave
Oxon Hill, MD 20745-2857 - Phone
- (202) 236-5160
- NPI assigned
- Nov 19, 2024
- Last updated
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 4860196 | DC | Primary |
Addresses
Primary practice location
822 Maury Ave
Oxon Hill, MD 20745-2857
Mailing address
822 Maury Ave
Oxon Hill, MD 20745-2857
Phone (202) 236-5160
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 |
|---|---|---|---|
| 4860196 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1144045626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 MAURY AVE",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207452857",
"telephone_number": "202-236-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 MAURY AVE",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207452857",
"telephone_number": "202-236-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVILLE",
"first_name": "MYTAYA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "4860196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxon Hill, MD
- Dental Glitters LLC
- Dental One Associates Oxon Hill PC
- Dentistry for Children of Maryland, LLC
- Dereje Bereded DDS,LLC
- Kenneth Andre Desandies, MD
- Shawnessa Millicent Devonish, MA, LGPC, NCC
- Dialysis Newco LLC (U.S. Renal Care Oxon Hills Dialysis)
- Diasporic Healing LLC
- Glenda Laurent Dickonson, PH.D., LCPC
- Diligent Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.