Individual provider Active NPI

Viviane Tankeu Djoteng, AID

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1255972212
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200002160 Issued in DC
Practice address
1010 Vermont Street Suite 1003
Washington, DC 20005
Phone
(844) 381-4432
NPI assigned
Oct 1, 2019
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA200002160 DC Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1010 Vermont Street Suite 1003
Washington, DC 20005

Mailing address

14807 Bowie Rd Apt 304
Laurel, MD 20708-1040
Phone (301) 665-6698

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
HHA200002160DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1255972212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14807 BOWIE RD APT 304",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081040",
            "telephone_number": "301-665-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VERMONT STREET SUITE 1003",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20005",
            "telephone_number": "844-381-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKEU DJOTENG",
        "first_name": "VIVIANE",
        "credential": "AID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200002160",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 4, 2024; 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.