Individual provider Active NPI

Emmaculate Endoaku

  • Nurse's Aide
  • Hyattsville, MD
National Provider Identifier
1346818002
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00178158 Issued in MD
Practice address
3506 Hubbard Rd Apt 301
Hyattsville, MD 20785-2072
Phone
(240) 821-3409
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00178158 MD Primary

Addresses

Primary practice location

3506 Hubbard Rd Apt 301
Hyattsville, MD 20785-2072

Mailing address

3506 Hubbard Rd Apt 301
Hyattsville, MD 20785-2072
Phone (240) 821-3409

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
A00178158MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1346818002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 HUBBARD RD APT 301",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852072",
            "telephone_number": "240-821-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 HUBBARD RD APT 301",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852072",
            "telephone_number": "240-821-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDOAKU",
        "first_name": "EMMACULATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00178158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.