Active NPI
Elvis Ndesoh
- Home Health Registered Nurse
- Hyattsville, MD
National Provider Identifier
1760768618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 163WH0200X
- Practice address
- 2714 Kirkwood PL Apt 103
Hyattsville, MD 20782-2640 - Phone
- (301) 915-6067
- Fax
- (301) 915-6067
- NPI assigned
- Oct 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 163WH0200X | DC | Primary |
Addresses
Primary practice location
2714 Kirkwood PL Apt 103
Hyattsville, MD 20782-2640
Mailing address
2714 Kirkwood PL Apt 103
Hyattsville, MD 20782-2640
Phone (301) 915-6067
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
| License | State | Type | Specialty |
|---|---|---|---|
| 163WH0200X | DC | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342224000000",
"number": "1760768618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 KIRKWOOD PL APT 103",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207822640",
"telephone_number": "301-915-6067",
"fax_number": "301-915-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 KIRKWOOD PL APT 103",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207822640",
"telephone_number": "301-915-6067",
"fax_number": "301-915-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDESOH",
"first_name": "ELVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2012-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "DC",
"license": "163WH0200X",
"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 Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.