Active NPI
Gbessiweda Andnea Hantan
- Home Health Aide
- Mount Rainier, MD
National Provider Identifier
1295094282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- H535272067093
- Practice address
- 3328 Chauncey PL
Mount Rainier, MD 20712-1030 - Phone
- (301) 237-7685
- NPI assigned
- May 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | H535272067093 | MD | Primary |
Addresses
Primary practice location
3328 Chauncey PL
Mount Rainier, MD 20712-1030
Mailing address
3328 Chauncey PL
Mount Rainier, MD 20712-1030
Phone (301) 237-7685
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
| License | State | Type | Specialty |
|---|---|---|---|
| H535272067093 | MD | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1295094282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3328 CHAUNCEY PL",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207121030",
"telephone_number": "301-237-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3328 CHAUNCEY PL",
"city": "MOUNT RAINIER",
"state": "MD",
"postal_code": "207121030",
"telephone_number": "301-237-7685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANTAN",
"first_name": "GBESSIWEDA",
"middle_name": "ANDNEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "H535272067093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Rainier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.