Active NPI
Leinyuy M Dzekewong
- Home Health Aide
- Washington, DC
National Provider Identifier
1427627538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA15376
- Practice address
- 3500 18TH St NE
Washington, DC 20018-2738 - Phone
- (202) 529-6510
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | HHA15376 | DC | |
| Home Health Aide | 374U00000X | HHA15376 | DC | Primary |
Addresses
Primary practice location
3500 18TH St NE
Washington, DC 20018-2738
Mailing address
3601 Cousins Dr
Glenarden, MD 20774-2600
Phone (240) 413-0173
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 |
|---|---|---|---|
| HHA15376 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1427627538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 COUSINS DR",
"city": "GLENARDEN",
"state": "MD",
"postal_code": "207742600",
"telephone_number": "240-413-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 18TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200182738",
"telephone_number": "202-529-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZEKEWONG",
"first_name": "LEINYUY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "DC",
"license": "HHA15376",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA15376",
"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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.