Senneh Kormazu

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

A00146886 Issued in MD

Practice address

962 Wayne Ave Ste 600
Silver Spring, MD 20910-4453

Phone

(301) 585-9595

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1801542006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 WAYNE AVE STE 600",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104453",
            "telephone_number": "301-585-9595",
            "fax_number": "877-394-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 WAYNE AVE STE 600",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104453",
            "telephone_number": "301-585-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAZU",
        "first_name": "SENNEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00146886",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00146886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narcisse Kopguep
• Stephen Francis Kopp, TEP
• Logan Ryan Kopsidas, DPT
• Michael Koren, M.D.
• Nechama Malka Koretzky, MS CCC-SLP
• Aminata Koroma
• Daniella Koroma
• Emma Koroma
• Finah Koroma
• Gladys Mrs Koroma, HHA

• Home Health Aide in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.