Active NPI
John Mwangi
- Nurse's Aide
- Burtonsville, MD
National Provider Identifier
1356950877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00148616
- Practice address
- 4229 Red Maple CT
Burtonsville, MD 20866-1146 - Phone
- (240) 437-6805
- NPI assigned
- Jul 30, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA0000811534 | DC | |
| Nurse's Aide | 376K00000X | A00148616 | MD | Primary |
Addresses
Primary practice location
4229 Red Maple CT
Burtonsville, MD 20866-1146
Mailing address
4229 Red Maple CT
Burtonsville, MD 20866-1146
Phone (240) 437-6805
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 |
|---|---|---|---|
| NA0000811534 | DC | MD | Nurse's Aide |
| A00148616 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1356950877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 RED MAPLE CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661146",
"telephone_number": "240-437-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 RED MAPLE CT",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661146",
"telephone_number": "240-437-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANGI",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NA0000811534",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00148616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.