Kisha Bridgeforth

Individual provider Active NPI Home Health Agency · Washington, DC

NPI 1760740443 · NPPES record last updated May 1, 2012

Key facts

NPI
1760740443
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
1416 9TH St NW
Washington, DC 20001-3344
Phone
(202) 483-9111
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

1416 9TH St NW
Washington, DC 20001-3344

Mailing address

1416 9TH St NW
Washington, DC 20001-3344
Phone (202) 483-9111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2012.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1760740443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 9TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013344",
            "telephone_number": "202-483-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 9TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013344",
            "telephone_number": "202-483-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEFORTH",
        "first_name": "KISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Home Health Agency in District of Columbia

Sources for this page

Verify at the official NPI Registry.