Active NPI
Chisom Linda Amakor
- Home Health Aide
- Washington, DC
National Provider Identifier
1164936100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 13319
- Practice address
- 3811 Minn Ave NE
Washington, DC 20019-2660 - Phone
- (202) 390-0824
- NPI assigned
- Nov 29, 2017
- Last updated
- Nov 29, 2017
- 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 | 13319 | DC | Primary |
Addresses
Primary practice location
3811 Minn Ave NE
Washington, DC 20019-2660
Mailing address
5423 56TH Ave
Riverdale, MD 20737-2400
Phone (202) 390-0824
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 |
|---|---|---|---|
| 13319 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1164936100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5423 56TH AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207372400",
"telephone_number": "202-390-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 MINN AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192660",
"telephone_number": "202-390-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAKOR",
"first_name": "CHISOM",
"middle_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "13319",
"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 Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.