Active NPI
Emilienne Ngo Manyo
- Home Health Aide
- Arlington, VA
National Provider Identifier
1639779531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2611 Richmond Hwy Ste 700
Arlington, VA 22202-4016 - Phone
- (844) 381-4432
- NPI assigned
- Oct 29, 2020
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00193705 | MD | |
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2611 Richmond Hwy Ste 700
Arlington, VA 22202-4016
Mailing address
604 10TH St
Laurel, MD 20707-3524
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.consumerdirectdc.com/ |
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 |
|---|---|---|---|
| A00193705 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1639779531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 10TH ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 RICHMOND HWY STE 700",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024016",
"telephone_number": "844-381-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO MANYO",
"first_name": "EMILIENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00193705",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.consumerdirectdc.com/",
"affiliation": "N",
"address_1": "2611 Richmond Hwy Ste 700",
"city": "Arlington",
"state": "VA",
"country_code": "US",
"postal_code": "222024016",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 5, 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.