Individual provider Active NPI

Samuella Kanu

  • Home Health Certified Respiratory Therapist
  • Alexandria, VA
National Provider Identifier
1821714122
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
HCO-232895 Issued in VA
Practice address
4810 Beauregard St Ste G2
Alexandria, VA 22312-1709
Phone
(571) 397-8405
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory Therapist 2278H0200X HCO-232895 VA Primary

Addresses

Primary practice location

4810 Beauregard St Ste G2
Alexandria, VA 22312-1709

Mailing address

4810 Beauregard St Ste G2
Alexandria, VA 22312-1709
Phone (571) 397-8405

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
HCO-232895VAMDHome Health Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonders Home Health Care LLC CurrentSince May 14, 2023 Accepting new patients

Locations

4810 Beauregard St
Ste G2
Alexandria, VA 22312
Phone (571) 397-8405

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1821714122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BEAUREGARD ST STE G2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121709",
            "telephone_number": "571-397-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BEAUREGARD ST STE G2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121709",
            "telephone_number": "571-397-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANU",
        "first_name": "SAMUELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "VA",
            "license": "HCO-232895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.