Active NPI
Tiwanna Chantrell Grover
- Home Health Certified Respiratory Therapist
- Arlington, VA
National Provider Identifier
1619632502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- Practice address
- 2611 South Capitol Street
700
Arlington, VA 22202-9027 - Phone
- (844) 381-4432
- NPI assigned
- Nov 4, 2021
- 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 |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | |||
| Home Health Certified Respiratory Therapist | 2278H0200X | DC | Primary |
Addresses
Primary practice location
2611 South Capitol Street
700
Arlington, VA 22202-9027
Mailing address
Consumer Direct Care Network 700
2611 South Clark Street
Arlington, VA 22202
Phone (844) 381-4432
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1619632502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONSUMER DIRECT CARE NETWORK 700",
"address_2": "2611 SOUTH CLARK STREET",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22202",
"telephone_number": "844-381-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 SOUTH CAPITOL STREET",
"address_2": "700",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222029027",
"telephone_number": "844-381-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "TIWANNA",
"middle_name": "CHANTRELL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.