Active NPI
Nina Olive Houmkoin M Ep E
- Nurse's Aide
- Silver Spring, MD
National Provider Identifier
1417721234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00204340
- Practice address
- 2301 Glenallan Ave Apt 105
Silver Spring, MD 20906-3526 - Phone
- (217) 963-0528
- NPI assigned
- Nov 13, 2023
- 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 | A00204340 | MD | Primary |
Addresses
Primary practice location
2301 Glenallan Ave Apt 105
Silver Spring, MD 20906-3526
Mailing address
2301 Glenallan Ave Apt 105
Silver Spring, MD 20906-3526
Phone (217) 963-0528
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 |
|---|---|---|---|
| A00204340 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1417721234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 GLENALLAN AVE APT 105",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063526",
"telephone_number": "217-963-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 GLENALLAN AVE APT 105",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063526",
"telephone_number": "217-963-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUMKOIN M EP E",
"first_name": "NINA OLIVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00204340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.