Individual provider Active NPI

Marie Mireille Tjomb

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1831448075
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3402 Hewitt Ave Apt 104
Silver Spring, MD 20906-5405
Phone
(240) 640-9052
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X WA Primary

Addresses

Primary practice location

3402 Hewitt Ave Apt 104
Silver Spring, MD 20906-5405

Mailing address

3402 Hewitt Ave Apt 104
Silver Spring, MD 20906-5405
Phone (240) 640-9052

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": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1831448075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 HEWITT AVE APT 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065405",
            "telephone_number": "240-640-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 HEWITT AVE APT 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065405",
            "telephone_number": "240-640-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJOMB",
        "first_name": "MARIE",
        "middle_name": "MIREILLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": null,
            "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 Sep 4, 2012; 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.