Individual provider Active NPI

Mutiaa Issa Chanaa

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1831674548
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2109 I St NE Apt 7
Washington, DC 20002-3244
Phone
(202) 749-0820
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 Primary

Addresses

Primary practice location

2109 I St NE Apt 7
Washington, DC 20002-3244

Mailing address

2109 I St NE Apt 7
Washington, DC 20002-3244
Phone (202) 749-0820

Other identifiers 1

IdentifierTypeStateIssuer
70462734OtherDCTRUSTED HEALTH PLAN

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1831674548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 I ST NE APT 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023244",
            "telephone_number": "202-749-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 I ST NE APT 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023244",
            "telephone_number": "202-749-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANAA",
        "first_name": "MUTIAA",
        "middle_name": "ISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRUSTED HEALTH PLAN",
            "identifier": "70462734",
            "state": "DC"
        }
    ],
    "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 27, 2018; 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.