Active NPI
Djenabou Cisse
- Home Health Aide
- Washington, DC
National Provider Identifier
1457844698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA13700
- Practice address
- 2652 Martin Luther King Jr Ave SE Apt B9
Washington, DC 20020 - Phone
- (999) 999-9999
- NPI assigned
- Jun 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA13700 | Primary |
Addresses
Primary practice location
2652 Martin Luther King Jr Ave SE Apt B9
Washington, DC 20020
Mailing address
1917 Bladensburg Rd NE # 419
Washington, DC 20002-1811
Phone (301) 222-3185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA13700 | Other | DC | HOME HEALTH AIDE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1457844698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 BLADENSBURG RD NE # 419",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200021811",
"telephone_number": "301-222-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2652 MARTIN LUTHER KING JR AVE SE APT B9",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20020",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISSE",
"first_name": "DJENABOU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": "HHA13700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AIDE",
"identifier": "HHA13700",
"state": "DC"
}
],
"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 Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.