Brigitte Petsoh

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

6323 Georgia Ave NW Ste 350
Washington, DC 20011-1151

Phone

(202) 506-1209

NPI assigned

Sep 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1336753417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 350",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111151",
            "telephone_number": "202-506-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 350",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111151",
            "telephone_number": "202-506-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSOH",
        "first_name": "BRIGITTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00156474",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00156474",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abahomehealth.com",
            "affiliation": "N",
            "endpointDescription": "abahomehealth.com",
            "address_1": "6323 Georgia Ave NW Ste 350",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200111151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charise Taylor Petrovitch, MD
• Peter E Petrucci, MD
• Liana J Petruzzi, LCSW
• Sarah Irene Petry, MS CCC-SLP
• Magdalena Petryniak, M.D.
• Petticare
• Crystal Nicole Pettie
• Arianna Pettiford
• Leah Hoffman Pettiford
• Victoria Merci Pettiquoi-Morgan, LCSW-C

• Home Health Aide in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Aide in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.