Active NPI
Judith Amuteng Tah
- Home Health Aide
- Hagerstown, MD
National Provider Identifier
1609411305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 13822 Northcrest Rd
Hagerstown, MD 21742-2447 - Phone
- (301) 326-7858
- NPI assigned
- Nov 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | 5000389048 | MD | |
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
13822 Northcrest Rd
Hagerstown, MD 21742-2447
Mailing address
13822 Northcrest Rd
Hagerstown, MD 21742-2447
Phone (301) 326-7858
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 |
|---|---|---|---|
| 5000389048 | MD | MD | Vehicle Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1609411305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13822 NORTHCREST RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422447",
"telephone_number": "301-326-7858",
"fax_number": "540-683-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13822 NORTHCREST RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422447",
"telephone_number": "301-326-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAH",
"first_name": "JUDITH",
"middle_name": "AMUTENG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-17",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": "MD",
"license": "5000389048",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.