Octavia Johnson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

7207 Beltz Dr
District Heights, MD 20747-4601

Phone

(202) 210-4931

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1164070850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 BELTZ DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207474601",
            "telephone_number": "202-210-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 BELTZ DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207474601",
            "telephone_number": "202-210-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OCTAVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arecia Lajuan Jacobs
• Jasmine Sharay James
• April Camille Jefferson
• Lizzie Jefferson, PERSONAL CARE
• Joy Maurice Jekpe
• Patricia R Johnson, MSW, LICSW
• Stanley Johnson
• Dominique L Jones, MD
• Elbert R Jones
• Maurika Nicole Jones

• Home Health Agency in District Heights, MD
• Providers in District Heights, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.