Individual provider Active NPI

Jennifer Pacheco, HHA

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1174902431
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA11268 Issued in DC
Practice address
1010 Wisconsin Ave NW Ste 300
Washington, DC 20007-3680
Phone
(202) 955-8355
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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 HHA11268 DC Primary

Addresses

Primary practice location

1010 Wisconsin Ave NW Ste 300
Washington, DC 20007-3680

Mailing address

1010 Wisconsin Ave NW Ste 300
Washington, DC 20007-3680
Phone (202) 955-8355

Other identifiers 1

IdentifierTypeStateIssuer
HHA374U00000XOtherDCNURSING SERVICE RELATED PROVIDER

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
HHA11268DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1174902431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073680",
            "telephone_number": "202-955-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073680",
            "telephone_number": "202-955-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "JENNIFER",
        "credential": "HHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING SERVICE RELATED PROVIDER",
            "identifier": "HHA374U00000X",
            "state": "DC"
        }
    ],
    "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 May 20, 2015; 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.