Active NPI
Jamesina A Hanciles
- Nurse's Aide
- Washington, DC
National Provider Identifier
1407449309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00117546
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A00117546 | MD | MD | Nurse'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.