Mary Nketiah

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

A00076519 Issued in MD

Practice address

4320 Cathedral Ave NW
Washington, DC 20016-3561

Phone

(917) 597-2457

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1689295016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19538 CRYSTAL ROCK DR APT 24",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744932",
            "telephone_number": "240-478-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 CATHEDRAL AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163561",
            "telephone_number": "917-597-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKETIAH",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MD",
            "license": "A00076519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudin Yimeh Nkenyam
• Solange Nkerbu
• Adriel Nkesera
• Ornella Nketcha
• Dinah Nketia
• Julienne Nkeumen Epse Tchienga
• Paul Tumeh Nkeusseh
• Ruth Amateh Nkeza
• Atemnkeng Nkeze
• Joseph Ntumbong Nkeze

• Registered Nurse First Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Registered Nurse First Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.