Brigitte Pauline Pokam Wanda, HHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

62407 Issued in DC

Practice address

6735 New Hampshire Ave Apt 301
Takoma Park, MD 20912-2867

Phone

(240) 413-8619

NPI assigned

May 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Pauline Brigitte Pokam Wanda Ngobamen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1417216698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE APT 301",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "240-413-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE APT 301",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122867",
            "telephone_number": "240-413-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKAM WANDA",
        "first_name": "BRIGITTE",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "HHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "62407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "POKAM WANDA NGOBAMEN",
            "middle_name": "BRIGITTE",
            "prefix": "MRS.",
            "credential": "HHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phucho Philomina
• Ali Piacente, LCPC, LCPAT
• Natasha Pierre-Louis, DMD
• Nikita Pion-Klockner
• Cynthia V Plate, M.D.
• Blaise Pokam
• Christelle Aliane Pone Kuate
• Nanda Ponthenkandath, MD
• Tirtsa Porrata-Doria
• Spencer Porter, LCSW-C

• Home Health Aide in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.