Active NPI
Portrese Brown
- Home Health Aide
- Washington, DC
National Provider Identifier
1356898902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12616
- Practice address
- 2008 Maryland Avenue NE Apt 108
Washington, DC 20002 - Phone
- (202) 520-2600
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Home Health Aide | 374U00000X | HHA12616 | DC | Primary |
Addresses
Primary practice location
2008 Maryland Avenue NE Apt 108
Washington, DC 20002
Mailing address
2008 Maryland Ave NE Apt 108
Washington, DC 20002-3131
Phone (202) 520-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70197174 | Medicaid | DC |
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 |
|---|---|---|---|
| HHA12616 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520640000000",
"number": "1356898902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 MARYLAND AVE NE APT 108",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023131",
"telephone_number": "202-520-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 MARYLAND AVENUE NE APT 108",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"telephone_number": "202-520-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PORTRESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2018-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70197174",
"state": "DC"
}
],
"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 Mar 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.