Active NPI
Nadege Fanyi Tah, HHA
- Home Health Aide
- Hyattsville, MD
National Provider Identifier
1619410909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12533
- Practice address
- 2600 Queens Chapel Rd Apt 204
Hyattsville, MD 20782-3653 - Phone
- (240) 413-1997
- NPI assigned
- Nov 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | HHA12533 | DC | Primary |
Addresses
Primary practice location
2600 Queens Chapel Rd Apt 204
Hyattsville, MD 20782-3653
Mailing address
2600 Queens Chapel Rd Apt 204
Hyattsville, MD 20782-3653
Phone (240) 413-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA12533 | Other | DC | BOARD OF NURSING |
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 |
|---|---|---|---|
| HHA12533 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1619410909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 QUEENS CHAPEL RD APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823653",
"telephone_number": "240-413-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 QUEENS CHAPEL RD APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823653",
"telephone_number": "240-413-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAH",
"first_name": "NADEGE",
"middle_name": "FANYI",
"name_prefix": "Ms.",
"credential": "HHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "HHA12533",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.