Individual provider Active NPI

Monique Bounda Kougang

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1669941407
Registry record updated Nov 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14151 Issued in DC
Practice address
29 42ND St NE Apt 30
Washington, DC 20019-4575
Phone
(240) 645-3293
NPI assigned
Nov 23, 2018
Sex
Female
Sole proprietor
Yes

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
HHA14151DCMDHome Health Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA14151 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

29 42ND St NE Apt 30
Washington, DC 20019-4575

Mailing address

29 42ND St NE Apt 30
Washington, DC 20019-4575
Phone (240) 645-3293

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2018.

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542931200000",
    "number": "1669941407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 42ND ST NE APT 30",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194575",
            "telephone_number": "240-645-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 42ND ST NE APT 30",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194575",
            "telephone_number": "240-645-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDA KOUGANG",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.