Active NPI
Nashawn Kenneth Riley I
- Personal Care Attendant
- District Heights, MD
National Provider Identifier
1386452183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 4483517
- Practice address
- 2110 Brooks Dr Apt T17
District Heights, MD 20747-1084 - Phone
- (301) 836-8621
- NPI assigned
- Dec 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 4483517 | DC | Primary |
Addresses
Primary practice location
2110 Brooks Dr Apt T17
District Heights, MD 20747-1084
Mailing address
2110 Brooks Dr Apt T17
District Heights, MD 20747-1084
Phone (301) 836-8621
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 |
|---|---|---|---|
| 4483517 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1386452183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 BROOKS DR APT T17",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207471084",
"telephone_number": "301-836-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 BROOKS DR APT T17",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207471084",
"telephone_number": "301-836-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "NASHAWN",
"middle_name": "KENNETH",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "4483517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.