Destaire Ngole, DN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2918 Minnesota Ave SE
Washington, DC 20019-1127

Phone

(202) 839-5310

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1285356808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 MINNESOTA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191127",
            "telephone_number": "202-839-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 Good Hope Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205615",
            "country_code": "US",
            "telephone_number": "202-796-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGOLE",
        "first_name": "DESTAIRE",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91380925501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Penda Ngoh
• Shaaron Mah Ngoh
• Terence Njeck Ngoh
• Yanick Ngoh
• Mischler Ngohbuo, HHA
• Julius Ngole, HOME HEALTH AIDE
• Leopold Ngondy Ngole
• Sylvie Emade Ngole
• Silenda Tenguh Ngom
• Shako Magy Ngoma

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.