Individual provider Active NPI

Sama Grace Fri, HHA

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1487910006
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1801 Mount Pisgah LN
#4
Silver Spring, MD 20903-2140
Phone
(202) 545-0935
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

1801 Mount Pisgah LN
#4
Silver Spring, MD 20903-2140

Mailing address

1801 Mount Pisgah Lane
#4
Silver Spring, MD 20903
Phone (202) 545-0935

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1487910006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MOUNT PISGAH LANE",
            "address_2": "#4",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20903",
            "telephone_number": "202-545-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MOUNT PISGAH LN",
            "address_2": "#4",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032140",
            "telephone_number": "202-545-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRI",
        "first_name": "SAMA",
        "middle_name": "GRACE",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "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 Apr 9, 2012; 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.