Active NPI
Kenneth Betts
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1396355335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 2805 28TH St SE Apt 4
Washington, DC 20020-2651 - Phone
- (202) 422-7475
- NPI assigned
- Aug 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
2805 28TH St SE Apt 4
Washington, DC 20020-2651
Mailing address
1026 Philip Powers Dr
Laurel, MD 20707-3512
Phone (202) 277-3609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A16411786 | Other | AMERICAN HEALTHCARE ACADEMY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1396355335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 PHILIP POWERS DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073512",
"telephone_number": "202-277-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 28TH ST SE APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200202651",
"telephone_number": "202-422-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTHCARE ACADEMY",
"identifier": "A16411786",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2805 28th St SE Apt 4",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200202651",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 10, 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.