Active NPI
Mispa Bivuoh
- Licensed Practical Nurse
- Washington, DC
National Provider Identifier
1346581972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN1008201
- Practice address
- 7600 Georgia Avenue Suite 323
Washington, DC 20012 - Phone
- (202) 723-3060
- Fax
- (202) 723-3065
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LPN1008201 | DC | MD | Licensed Practical Nurse |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1008201 | DC | Primary |
| Home Health Aide | 374U00000X |
Addresses
NPPES NPI RegistryPrimary practice location
7600 Georgia Avenue Suite 323
Washington, DC 20012
Mailing address
7600 Georgia Avenue Suite 323
Washington, DC 20012
Phone (202) 723-3060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2016.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1346581972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 GEORGIA AVENUE SUITE 323",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-723-3060",
"fax_number": "202-723-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 GEORGIA AVENUE SUITE 323",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-723-3060",
"fax_number": "202-723-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVUOH",
"first_name": "MISPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1008201",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"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 May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.