Individual provider Active NPI

Ernestine N Fongo Epse Naoussi

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1295407674
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200001366 Issued in DC
Practice address
2100 Belvedere Blvd Apt 6
Silver Spring, MD 20902-5625
Phone
(301) 326-9531
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 HHA200001366 DC Primary

Addresses

Primary practice location

2100 Belvedere Blvd Apt 6
Silver Spring, MD 20902-5625

Mailing address

2100 Belvedere Blvd Apt 6
Silver Spring, MD 20902-5625
Phone (202) 291-6973

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
HHA200001366DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1295407674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BELVEDERE BLVD APT 6",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025625",
            "telephone_number": "202-291-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BELVEDERE BLVD APT 6",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025625",
            "telephone_number": "301-326-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONGO EPSE NAOUSSI",
        "first_name": "ERNESTINE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200001366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.