Individual provider Active NPI

Naty Aurore Ngeubou

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1720586803
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13332 Issued in MD
Practice address
1220 12TH St SE
Washington, DC 20003-3722
Phone
(202) 544-8090
Fax
(202) 544-8091
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 HHA13332 MD Primary

Addresses

Primary practice location

1220 12TH St SE
Washington, DC 20003-3722

Mailing address

4402 Twin Oak CT
Lanham, MD 20706-1935
Phone (240) 825-7146

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
HHA13332MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1720586803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 TWIN OAK CT",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061935",
            "telephone_number": "240-825-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033722",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGEUBOU",
        "first_name": "NATY",
        "middle_name": "AURORE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "HHA13332",
            "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 Jan 24, 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.