Active NPI
Audrine Orliane Djoudja Soph
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1790296994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1818 New York Ave NE
Washington, DC 20002-1848 - Phone
- (202) 489-0615
- NPI assigned
- Oct 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA13107 | DC | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1818 New York Ave NE
Washington, DC 20002-1848
Mailing address
12113 Quadrille LN
Bowie, MD 20720-4384
Phone (240) 643-8750
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 |
|---|---|---|---|
| HHA13107 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1790296994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12113 QUADRILLE LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204384",
"telephone_number": "240-643-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 NEW YORK AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200021848",
"telephone_number": "202-489-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJOUDJA SOPH",
"first_name": "AUDRINE ORLIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA13107",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Oct 1, 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.