Individual provider Active NPI

Jean F Nikiema

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1245728906
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA1677 Issued in DC
Practice address
8804 Manchester Rd Apt 2
Silver Spring, MD 20901-4130
Phone
(240) 938-8740
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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 HHA1677 DC Primary

Addresses

Primary practice location

8804 Manchester Rd Apt 2
Silver Spring, MD 20901-4130

Mailing address

8804 Manchester Rd Apt 2
Silver Spring, MD 20901-4130
Phone (240) 938-8740

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
HHA1677DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1245728906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 MANCHESTER RD APT 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014130",
            "telephone_number": "240-938-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 MANCHESTER RD APT 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014130",
            "telephone_number": "240-938-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKIEMA",
        "first_name": "JEAN",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.