Active NPI
Dora Antwi
- Home Health Aide
- Stafford, VA
National Provider Identifier
1144934860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2046 Richmond Hwy Ste a
Stafford, VA 22554-7276 - Phone
- (202) 604-1610
- Fax
- (808) 466-1211
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2046 Richmond Hwy Ste a
Stafford, VA 22554-7276
Mailing address
2690 Penbury CT Apt 302
Woodbridge, VA 22191-4238
Phone (571) 866-0105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 921600969 | Medicaid | VA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | doraantwi29@icloud.com | Direct | |
| Other URL | office | Health Information Exchange (HIE) |
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": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1144934860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 PENBURY CT APT 302",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914238",
"telephone_number": "571-866-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 RICHMOND HWY STE A",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547276",
"telephone_number": "202-604-1610",
"fax_number": "808-466-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTWI",
"first_name": "DORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "921600969",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "doraantwi29@icloud.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2690 Penbury Court",
"address_2": "302",
"city": "Woodbridge",
"state": "VA",
"country_code": "US",
"postal_code": "22191",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "office",
"affiliation": "N",
"endpointDescription": "home health care office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2690 Penbury Court",
"address_2": "302",
"city": "Woodbridge",
"state": "VA",
"country_code": "US",
"postal_code": "22191",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.