Individual provider Active NPI

Joan Nahjela Epse Wiryen

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1417712910
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200003901 Issued in DC
Practice address
14100 Farnsworth LN Apt 2301
Upper Marlboro, MD 20772-6971
Phone
(240) 375-2998
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA200003901 DC Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

14100 Farnsworth LN Apt 2301
Upper Marlboro, MD 20772-6971

Mailing address

14100 Farnsworth LN Apt 2301
Upper Marlboro, MD 20772-6971
Phone (240) 375-2998

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
HHA200003901DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Care Group Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1417712910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FARNSWORTH LN APT 2301",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726971",
            "telephone_number": "240-375-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FARNSWORTH LN APT 2301",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726971",
            "telephone_number": "240-375-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHJELA EPSE WIRYEN",
        "first_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200003901",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.