Individual provider Active NPI

Almaz Tekie Misgina

  • Home Health Aide
  • Montgomery Village, MD
National Provider Identifier
1497308720
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
19396 Montgomery Village Ave
Montgomery Village, MD 20886-3000
Phone
(240) 499-2873
NPI assigned
Jul 16, 2019
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

19396 Montgomery Village Ave
Montgomery Village, MD 20886-3000

Mailing address

1106 Columbia Rd NW Apt 108
Washington, DC 20009-5352

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL other

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1497308720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA RD NW APT 108",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19396 MONTGOMERY VILLAGE AVE",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863000",
            "telephone_number": "240-499-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISGINA",
        "first_name": "ALMAZ",
        "middle_name": "TEKIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "19396 Montgomery Village Ave",
            "city": "Montgomery Village",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208863000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.