Individual provider Active NPI

Georgette Kayo Kwokam

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1558620302
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2547497 Issued in DC
Practice address
5613 14TH St NW
Washington, DC 20011-6803
Phone
(202) 577-3044
NPI assigned
May 15, 2012
Last updated
May 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 2547497 DC Primary

Addresses

Primary practice location

5613 14TH St NW
Washington, DC 20011-6803

Mailing address

5613 14TH St NW
Washington, DC 20011-6803
Phone (202) 577-3044

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

LicenseStateTypeSpecialty
2547497DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1558620302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116803",
            "telephone_number": "202-577-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116803",
            "telephone_number": "202-577-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOKAM",
        "first_name": "GEORGETTE",
        "middle_name": "KAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "2547497",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 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.