Individual provider Active NPI

Maria A Moutano

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1417217019
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2639054 Issued in DC
Practice address
3435 Holmead PL NW
Apt 115
Washington, DC 20010-3417
Phone
(202) 906-9874
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2639054DCMDHome Health Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2639054 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

3435 Holmead PL NW
Apt 115
Washington, DC 20010-3417

Mailing address

3435 Holmead PL NW
Apt 115
Washington, DC 20010-3417
Phone (202) 906-9874

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2012.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1417217019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 HOLMEAD PL NW",
            "address_2": "APT 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103417",
            "telephone_number": "202-906-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 HOLMEAD PL NW",
            "address_2": "APT 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103417",
            "telephone_number": "202-906-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTANO",
        "first_name": "MARIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "2639054",
            "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 May 17, 2012; 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.