Chisom Adanna Egbuchere

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11682 Issued in DC

Practice address

1009 Chillum Rd
208
Hyattsville, MD 20782-2265

Phone

(301) 543-9879

NPI assigned

Dec 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1477918274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CHILLUM RD",
            "address_2": "208",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822265",
            "telephone_number": "301-543-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CHILLUM RD",
            "address_2": "208",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822265",
            "telephone_number": "301-543-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUCHERE",
        "first_name": "CHISOM",
        "middle_name": "ADANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11682",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "NA00607511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA LICENSE",
            "identifier": "HHA11682",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA LICENSE",
            "identifier": "NA00607511",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ilse Eisele, LCPC, LGPC
• Delphine Ejeck
• Esther Nonyelum Ejinaka

• Home Health Aide in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.