Active NPI
Hortence Koudem
- Licensed Practical Nurse
- Washington, DC
National Provider Identifier
1144726795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN1004954
- Practice address
- 6856 Eastern Ave NW Ste 320a
Washington, DC 20012-2112 - Phone
- (202) 541-9844
- NPI assigned
- Apr 3, 2018
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1004954 | DC | Primary |
Addresses
Primary practice location
6856 Eastern Ave NW Ste 320a
Washington, DC 20012-2112
Mailing address
1675 Fort Dupont St SE
Washington, DC 20020-1052
Phone (240) 838-1312
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 |
|---|---|---|---|
| LPN1004954 | DC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linac Services Inc | Past | Accepting new patients | |
| Linac Services Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Capitol Heights, MD
- NPI 1124114558
-
- Home Health Agency
- Hyattsville, MD
- NPI 1093120230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1144726795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 FORT DUPONT ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200201052",
"telephone_number": "240-838-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 EASTERN AVE NW STE 320A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122112",
"telephone_number": "202-541-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUDEM",
"first_name": "HORTENCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1004954",
"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 Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.