Active NPI
Markeda Lanee Gilliam
- Home Health Aide
- Washington, DC
National Provider Identifier
1154019495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 1346552809
- Practice address
- 1014 6TH St NE
Washington, DC 20002-3516 - Phone
- (202) 344-6435
- NPI assigned
- Apr 25, 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 | 1346552809 | VA | Primary |
Addresses
Primary practice location
1014 6TH St NE
Washington, DC 20002-3516
Mailing address
1014 6TH St NE
Washington, DC 20002-3516
Phone (202) 344-6435
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 |
|---|---|---|---|
| 1346552809 | VA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1154019495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 6TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023516",
"telephone_number": "202-344-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 6TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023516",
"telephone_number": "202-344-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "MARKEDA",
"middle_name": "LANEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "VA",
"license": "1346552809",
"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 25, 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.