Active NPI
Haja Z Cole
- Home Health Clinical Nurse Specialist
- Fort Washington, MD
National Provider Identifier
1366045494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Clinical Nurse Specialist
- License
- R4636P
- Practice address
- 8704 Devon Hills Dr
Fort Washington, MD 20744-7165 - Phone
- (301) 974-7868
- NPI assigned
- Nov 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Clinical Nurse Specialist | 364SH0200X | R4636P | MD | Primary |
Addresses
Primary practice location
8704 Devon Hills Dr
Fort Washington, MD 20744-7165
Mailing address
8704 Devon Hills Dr
Fort Washington, MD 20744-7165
Phone (301) 974-7868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R4636P | Other | MD | LICENSE 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 |
|---|---|---|---|
| R4636P | MD | MD | Home Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1366045494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 DEVON HILLS DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207447165",
"telephone_number": "301-974-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8704 DEVON HILLS DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207447165",
"telephone_number": "301-974-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "HAJA",
"middle_name": "Z",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SH0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Home Health",
"state": "MD",
"license": "R4636P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "R4636P",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.