Individual provider Active NPI

Martina Ngangoum Kamga

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1164784567
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA3055 Issued in DC
Practice address
5101 Wisconsin Ave NW
Suite 250
Washington, DC 20016-4120
Phone
(202) 526-2400
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA3055 DC Primary

Addresses

Primary practice location

5101 Wisconsin Ave NW
Suite 250
Washington, DC 20016-4120

Mailing address

8860 Piney Branch Rd Apt 605
Silver Spring, MD 20903-3542
Phone (301) 434-6690

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

LicenseStateTypeSpecialty
HHA3055DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Enterprises, Inc. Past Accepting new patients
Nursing Enterprises, 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.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1164784567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 PINEY BRANCH RD APT 605",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209033542",
            "telephone_number": "301-434-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WISCONSIN AVE NW",
            "address_2": "SUITE 250",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164120",
            "telephone_number": "202-526-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMGA",
        "first_name": "MARTINA",
        "middle_name": "NGANGOUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA3055",
            "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 Dec 5, 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.

Verify at the official NPI Registry.