Active NPI
Wandar Bowie
- Home Health Aide
- Washington, DC
National Provider Identifier
1821602749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1315 S St SE
Washington, DC 20020-6925 - Phone
- (202) 538-1910
- NPI assigned
- Sep 8, 2020
- Last updated
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1315 S St SE
Washington, DC 20020-6925
Mailing address
743 Park Rd NW
Washington, DC 20010-1517
Phone (202) 839-6094
Other practice location 1
743 Park Rd NW
Washington, DC 20010-1517
Phone (202) 839-6094
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": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1821602749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 PARK RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101517",
"telephone_number": "202-839-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 S ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200206925",
"telephone_number": "202-538-1910"
}
],
"practiceLocations": [
{
"address_1": "743 Park Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200101517",
"country_code": "US",
"telephone_number": "202-839-6094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWIE",
"first_name": "WANDAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.