Active NPI
Mariette Christelle Ghoumga
- Home Health Aide
- Silver Spring, MD
National Provider Identifier
1710247218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- G-520-585-115-577
- Practice address
- 14108 Castle Blvd
Apt 302
Silver Spring, MD 20904-4618 - Phone
- (240) 374-2742
- NPI assigned
- May 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | G-520-585-115-577 | MD | Primary |
Addresses
Primary practice location
14108 Castle Blvd
Apt 302
Silver Spring, MD 20904-4618
Mailing address
14108 Castle Blvd
Apt 302
Silver Spring, MD 20904-4618
Phone (240) 374-2742
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 |
|---|---|---|---|
| G-520-585-115-577 | MD | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1710247218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14108 CASTLE BLVD",
"address_2": "APT 302",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044618",
"telephone_number": "240-374-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14108 CASTLE BLVD",
"address_2": "APT 302",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044618",
"telephone_number": "240-374-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOUMGA",
"first_name": "MARIETTE",
"middle_name": "CHRISTELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "G-520-585-115-577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.