Individual provider Active NPI

Fatoumata Sidibe

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1750864831
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13991 Issued in DC
Practice address
1227 Holbrook Ter NE Apt 2
Washington, DC 20002-2729
Phone
(202) 751-6647
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 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 HHA13991 DC Primary

Addresses

Primary practice location

1227 Holbrook Ter NE Apt 2
Washington, DC 20002-2729

Mailing address

1227 Holbrook Ter NE Apt 2
Washington, DC 20002-2729
Phone (202) 751-6647

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
HHA13991DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1750864831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 HOLBROOK TER NE APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022729",
            "telephone_number": "202-751-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 HOLBROOK TER NE APT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022729",
            "telephone_number": "202-751-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIBE",
        "first_name": "FATOUMATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13991",
            "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 Sep 13, 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.