Individual provider Active NPI

Jamesina A Hanciles

  • Nurse's Aide
  • Washington, DC
National Provider Identifier
1407449309
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00117546 Issued in MD
Practice address
1615 Kenilworth Ave NE # 1615
Washington, DC 20019-2010
Phone
(240) 280-6527
Fax
(410) 946-2010
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00117546 MD Primary

Addresses

Primary practice location

1615 Kenilworth Ave NE # 1615
Washington, DC 20019-2010

Mailing address

1615 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (202) 588-8036

Other practice location 1

1615 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (202) 588-8036

Other practice location 2

1615 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (202) 588-8036

Other practice location 3

805 Anderson St
Silver Spring, MD 20904-3217
Phone (240) 280-6527

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

LicenseStateTypeSpecialty
A00117546MDMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1407449309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-588-8036",
            "fax_number": "410-946-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 KENILWORTH AVE NE # 1615",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "240-280-6527",
            "fax_number": "410-946-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Kenilworth Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200192010",
            "country_code": "US",
            "telephone_number": "202-588-8036",
            "fax_number": "410-946-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Kenilworth Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200192010",
            "country_code": "US",
            "telephone_number": "202-588-8036",
            "fax_number": "410-946-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209043217",
            "country_code": "US",
            "telephone_number": "240-280-6527",
            "fax_number": "410-946-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCILES",
        "first_name": "JAMESINA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00117546",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.