Individual provider Active NPI

Eric Hazoume

  • Home Health Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1801218722
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
HHA9101 Issued in DC
Practice address
3216 Whispering Pines Dr Apt 32
Silver Spring, MD 20906-2454
Phone
(240) 893-7652
NPI assigned
Jan 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X HHA9101 DC Primary

Addresses

Primary practice location

3216 Whispering Pines Dr Apt 32
Silver Spring, MD 20906-2454

Mailing address

3216 Whispering Pines Dr Apt 32
Silver Spring, MD 20906-2454
Phone (240) 893-7652

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
HHA9101DCMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389484800000",
    "number": "1801218722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 WHISPERING PINES DR APT 32",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062454",
            "telephone_number": "240-893-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 WHISPERING PINES DR APT 32",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062454",
            "telephone_number": "240-893-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZOUME",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "HHA9101",
            "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 Jan 12, 2014; 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.