Active NPI
Josepha Lesly Berrys
- Home Health Aide
- Washington, DC
National Provider Identifier
1184142614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12951
- Practice address
- 501 School St SW Ste 200
Washington, DC 20024-2774 - Phone
- (703) 310-7336
- NPI assigned
- Sep 5, 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 | HHA12951 | DC | Primary |
Addresses
Primary practice location
501 School St SW Ste 200
Washington, DC 20024-2774
Mailing address
3318 Dodge Park Rd Apt 204
Hyattsville, MD 20785-2114
Phone (240) 440-9582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42804282000 | Medicaid | MD |
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 |
|---|---|---|---|
| HHA12951 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1184142614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 DODGE PARK RD APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207852114",
"telephone_number": "240-440-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SCHOOL ST SW STE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200242774",
"telephone_number": "703-310-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRYS",
"first_name": "JOSEPHA",
"middle_name": "LESLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42804282000",
"state": "MD"
}
],
"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 Sep 5, 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.