Individual provider Active NPI

Dilys Acha Ndam

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1710302328
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA10378 Issued in DC
Practice address
6836 Trexler Rd
Lanham, MD 20706-3777
Phone
(240) 467-7567
Fax
(202) 450-3109
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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 HHA10378 DC Primary

Addresses

Primary practice location

6836 Trexler Rd
Lanham, MD 20706-3777

Mailing address

6836 Trexler Rd
Lanham, MD 20706-3777
Phone (240) 467-7567

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
HHA10378DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1710302328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 TREXLER RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063777",
            "telephone_number": "240-467-7567",
            "fax_number": "202-450-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 TREXLER RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063777",
            "telephone_number": "240-467-7567",
            "fax_number": "202-450-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDAM",
        "first_name": "DILYS",
        "middle_name": "ACHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA10378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.