Individual provider Active NPI

Stephanie S.W Amaazee Epse Mbah

  • Home Health Aide
  • Washington DC, DC
National Provider Identifier
1245745702
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
12786 Issued in DC
Practice address
6223 Georgia Ave
Washington DC, DC 20011
Phone
(202) 506-1396
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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 12786 DC Primary

Addresses

Primary practice location

6223 Georgia Ave
Washington DC, DC 20011

Mailing address

8423 Greenbelt Rd Apt T2
Greenbelt, MD 20770-2512
Phone (240) 810-4377

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
12786DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1245745702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 GREENBELT RD APT T2",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702512",
            "telephone_number": "240-810-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 GEORGIA AVE",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-506-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAAZEE EPSE MBAH",
        "first_name": "STEPHANIE",
        "middle_name": "S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "12786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington DC, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.