Individual provider Active NPI

Christine Edith Kom Fotso, HHA

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1790028934
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
14114 Grand Pre Rd Apt 34
Silver Spring, MD 20906-2851
Phone
(202) 545-0935
Fax
(202) 545-0176
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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 Primary

Addresses

Primary practice location

14114 Grand Pre Rd Apt 34
Silver Spring, MD 20906-2851

Mailing address

14114 Grand Pre Rd Apt 34
Silver Spring, MD 20906-2851
Phone (202) 545-0935

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

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1790028934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 GRAND PRE RD APT 34",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062851",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 GRAND PRE RD APT 34",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062851",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOM FOTSO",
        "first_name": "CHRISTINE",
        "middle_name": "EDITH",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.