Individual provider Active NPI

Hermina Widin

  • Home Health Aide
  • New Carrollton, MD
National Provider Identifier
1609386937
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13025 Issued in DC
Practice address
7751 Riverdale Rd Apt T2
New Carrollton, MD 20784-3916
Phone
(301) 458-9216
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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 HHA13025 DC Primary

Addresses

Primary practice location

7751 Riverdale Rd Apt T2
New Carrollton, MD 20784-3916

Mailing address

7751 Riverdale Rd
New Carrollton, MD 20784-3916
Phone (301) 458-9216

Other identifiers 1

IdentifierTypeStateIssuer
HHA13025OtherMDHOME HEALTH AIDE

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
HHA13025DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1609386937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 RIVERDALE RD",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843916",
            "telephone_number": "301-458-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 RIVERDALE RD APT T2",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843916",
            "telephone_number": "301-458-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDIN",
        "first_name": "HERMINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AIDE",
            "identifier": "HHA13025",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.