Active NPI
Amiiah J Smith
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1548883143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- S530066454199
- Practice address
- 3700 9TH St SE Apt 823
Washington, DC 20032-4016 - Phone
- (202) 390-9110
- NPI assigned
- May 19, 2020
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | S530066454199 | MD | Primary |
Addresses
Primary practice location
3700 9TH St SE Apt 823
Washington, DC 20032-4016
Mailing address
2626 Parkland Dr
District Heights, MD 20747-4802
Phone (240) 416-6313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R60238903 | 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 |
|---|---|---|---|
| S530066454199 | MD | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1548883143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 PARKLAND DR",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207474802",
"telephone_number": "240-416-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 9TH ST SE APT 823",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324016",
"telephone_number": "202-390-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMIIAH",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MD",
"license": "S530066454199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R60238903",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.