Individual provider Active NPI

Theresia Ajenanyi Atechong, HOME HEALTH AIDE

  • Home Health Aide
  • Burtonsville, MD
National Provider Identifier
1639552540
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA11413 Issued in DC
Practice address
13518 Greencastle Ridge Ter Apt 402
Burtonsville, MD 20866
Phone
(240) 646-2115
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 HHA11413 DC Primary

Addresses

Primary practice location

13518 Greencastle Ridge Ter Apt 402
Burtonsville, MD 20866

Mailing address

13518 Greencastle Ridge Ter Apt 402
Burtonsville, MD 20866-2153
Phone (240) 646-2115

Other names 1

  • Theresia Atechong Former name

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
HHA11413DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1639552540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13518 GREENCASTLE RIDGE TER APT 402",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662153",
            "telephone_number": "240-646-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13518 GREENCASTLE RIDGE TER APT 402",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "20866",
            "telephone_number": "240-646-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATECHONG",
        "first_name": "THERESIA",
        "middle_name": "AJENANYI",
        "credential": "HOME HEALTH AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESIA",
            "last_name": "ATECHONG",
            "credential": "HOME HEALTH AIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.