Active NPI
Joella Roberts
- Home Health Aide
- Washington, DC
National Provider Identifier
1609229756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12158
- Practice address
- 1220 12TH St SE
Suite 120
Washington, DC 20003-3722 - Phone
- (202) 548-0588
- NPI assigned
- Jul 13, 2016
- Last updated
- Jul 13, 2016
- 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 | HHA12158 | DC | Primary |
Addresses
Primary practice location
1220 12TH St SE
Suite 120
Washington, DC 20003-3722
Mailing address
1348 Euclid St NW
Apt 3
Washington, DC 20009-4844
Phone (202) 910-0103
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 |
|---|---|---|---|
| HHA12158 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1609229756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 EUCLID ST NW",
"address_2": "APT 3",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200094844",
"telephone_number": "202-910-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 12TH ST SE",
"address_2": "SUITE 120",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033722",
"telephone_number": "202-548-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12158",
"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 Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.