Active NPI
Olaide Barsirah Yushau
- Home Health Aide
- Hyattsville, MD
National Provider Identifier
1629734728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA200003794
- Practice address
- 3402 55TH Ave Apt 204
Hyattsville, MD 20784-1016 - Phone
- (240) 413-9214
- NPI assigned
- Nov 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200003794 | DC | Primary |
Addresses
Primary practice location
3402 55TH Ave Apt 204
Hyattsville, MD 20784-1016
Mailing address
3402 554TH Ave. Suite 204
Hyattsville, MD 20784
Phone (240) 413-9412
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 |
|---|---|---|---|
| HHA200003794 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1629734728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 554TH AVE. SUITE 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "20784",
"telephone_number": "240-413-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 55TH AVE APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207841016",
"telephone_number": "240-413-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSHAU",
"first_name": "OLAIDE",
"middle_name": "BARSIRAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA200003794",
"primary": true
}
],
"identifiers": [],
"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 Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.