Individual provider Active NPI

Erica Ewell, CCMA, CMT

  • Home Health Agency
  • Temple Hills, MD
National Provider Identifier
1477188761
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L18207613 Issued in MD
Practice address
2054 N Anvil LN
Temple Hills, MD 20748-4269
Phone
(301) 630-0869
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X MT0111214 MD
Nursing Care Agency 251J00000X Y2K3N2W9 DC
Home Health Agency 251E00000X L18207613 MD Primary

Addresses

Primary practice location

2054 N Anvil LN
Temple Hills, MD 20748-4269

Mailing address

2054 N Anvil LN
Temple Hills, MD 20748-4269
Phone (301) 630-0869

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
MT0111214MDMDOther Technician
L18207613MDMDHome Health Agency
Y2K3N2W9DCMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1477188761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 N ANVIL LN",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484269",
            "telephone_number": "301-630-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 N ANVIL LN",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484269",
            "telephone_number": "301-630-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWELL",
        "first_name": "ERICA",
        "credential": "CCMA, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MD",
            "license": "MT0111214",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "DC",
            "license": "Y2K3N2W9",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "L18207613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.