Khadijah Konie

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN200002655 Issued in DC

Practice address

2811 Pennsylvania Ave SE
Washington, DC 20020-3865

Phone

(202) 894-6811

NPI assigned

Jul 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1558040212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 CINNABAR TER",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794575",
            "telephone_number": "240-646-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203865",
            "telephone_number": "202-894-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIE",
        "first_name": "KHADIJAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001315972",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN200002655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendoline Kong
• Roger Kongne-Neba, HOME HEALTH AIDE
• Kingsley Kongnui
• Delphine B Kongnyuy
• Alusine Konie
• Jaime Konieczny, FNP-C
• Henry Joseph Konigsberg, DDS
• Sandeep Konka, M.D.
• Konrad L Dawson, MD, PC
• Erin Konstantoulas, OT

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.