Individual provider Active NPI

Philippe Ngadjui Djikegoue

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1255706859
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA11611 Issued in DC
Practice address
6650 Georgia Ave NW
104
Washington, DC 20012-2546
Phone
(202) 243-9162
NPI assigned
Dec 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 HHA11611 DC Primary

Addresses

Primary practice location

6650 Georgia Ave NW
104
Washington, DC 20012-2546

Mailing address

6650 Georgia Ave NW
104
Washington, DC 20012-2546
Phone (202) 243-9162

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
HHA11611DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1255706859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 GEORGIA AVE NW",
            "address_2": "104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122546",
            "telephone_number": "202-243-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 GEORGIA AVE NW",
            "address_2": "104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122546",
            "telephone_number": "202-243-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJIKEGOUE",
        "first_name": "PHILIPPE",
        "middle_name": "NGADJUI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11611",
            "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 Dec 8, 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.