Individual provider Active NPI

Priscile Kwedi Mekounde

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1740020593
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200003588 Issued in DC
Practice address
719 Chillum Rd Apt 102
Hyattsville, MD 20783-6375
Phone
(240) 625-0191
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 HHA200003588 DC Primary

Addresses

Primary practice location

719 Chillum Rd Apt 102
Hyattsville, MD 20783-6375

Mailing address

719 Chillum Rd Apt 102
Hyattsville, MD 20783-6375
Phone (240) 625-0191

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
HHA200003588DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1740020593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 CHILLUM RD APT 102",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207836375",
            "telephone_number": "240-625-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 CHILLUM RD APT 102",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207836375",
            "telephone_number": "240-625-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWEDI MEKOUNDE",
        "first_name": "PRISCILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200003588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.