Active NPI
Marcelline K Ngangum, BACHELOR DEGREE
- Home Health Aide
- Silver Spring, MD
National Provider Identifier
1538427083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA7274
- Practice address
- 13817 Castle Blvd
Silver Spring, MD 20904-7336 - Phone
- (301) 850-2579
- Fax
- (301) 476-4532
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 | HHA7274 | DC | Primary |
Addresses
Primary practice location
13817 Castle Blvd
Silver Spring, MD 20904-7336
Mailing address
13817 Castle Blvd
Silver Spring, MD 20904-7336
Phone (301) 850-2579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA7274 | Medicaid | DC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA7274 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1538427083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13817 CASTLE BLVD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047336",
"telephone_number": "301-850-2579",
"fax_number": "301-476-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13817 CASTLE BLVD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047336",
"telephone_number": "301-850-2579",
"fax_number": "301-476-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANGUM",
"first_name": "MARCELLINE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "BACHELOR DEGREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA7274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA7274",
"state": "DC"
}
],
"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 3, 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.