Individual provider Active NPI

Mispa Bivuoh

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1346581972
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1008201 Issued in DC
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

LicenseStateTypeSpecialty
LPN1008201DCMDLicensed Practical Nurse

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1008201 DC Primary
Home Health Aide 374U00000X

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.