Gertrude Ndibabonga Macauley, HOME HEALTH AIDE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1005350 Issued in DC

Practice address

6120 Kansas Avenue NW
Washington, DC 20011

Phone

(202) 722-7776

NPI assigned

Feb 10, 2014

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1811311954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 MANHEIM AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051826",
            "telephone_number": "202-509-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 KANSAS AVENUE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-722-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULEY",
        "first_name": "GERTRUDE",
        "middle_name": "NDIBABONGA",
        "credential": "HOME HEALTH AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1005350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Gabrielle Macadoff
• Christine C. Macalinao, MSN,FNP-BC
• Miguel Macaoay, MD
• Arthur Macaraeg, MD
• Laura Macarthy
• Mustapha Macauley
• Deidre Spicer Maccannon, MD
• Mary Melissa Maccarthy, MPAS, PA-C
• Karmen N Macchiagodena, PA-C
• Christine Maccia, MS, CGC

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.