Individual provider Active NPI

Koudzo Senyo Ametowossi

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1649021692
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200003591 Issued in DC
Practice address
2631 Nicholson St Apt 202
Hyattsville, MD 20782-2658
Phone
(202) 813-5205
NPI assigned
Mar 28, 2024
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 HHA200003591 DC Primary

Addresses

Primary practice location

2631 Nicholson St Apt 202
Hyattsville, MD 20782-2658

Mailing address

2631 Nicholson St Apt 202
Hyattsville, MD 20782-2658
Phone (202) 813-5205

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
HHA200003591DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1649021692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 NICHOLSON ST APT 202",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822658",
            "telephone_number": "202-813-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 NICHOLSON ST APT 202",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822658",
            "telephone_number": "202-813-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMETOWOSSI",
        "first_name": "KOUDZO",
        "middle_name": "SENYO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200003591",
            "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 Nov 5, 2025; 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.