Active NPI
Canecia Tayinke Nchapnu Epse Anumbondem
- Home Health Aide
- Manassas, VA
National Provider Identifier
1831519586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA10572
- Practice address
- 10158 Wilmington St
Manassas, VA 20109-3756 - Phone
- (202) 758-4539
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | HHA10572 | DC | Primary |
Addresses
Primary practice location
10158 Wilmington St
Manassas, VA 20109-3756
Mailing address
10158 Wilmington St
Manassas, VA 20109-3756
Phone (202) 758-4539
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA10572 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1831519586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10158 WILMINGTON ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093756",
"telephone_number": "202-758-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10158 WILMINGTON ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093756",
"telephone_number": "202-758-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NCHAPNU EPSE ANUMBONDEM",
"first_name": "CANECIA",
"middle_name": "TAYINKE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA10572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.