Mekdes Obssa Kanta

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA9061 Issued in DC

Practice address

6475 New Hampshire Ave Ste 504F
Hyattsville, MD 20783-3277

Phone

(301) 560-1352

NPI assigned

Nov 6, 2012

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ab3 Health Services

  • Community/Behavioral Health Agency
  • Hyattsville, MD
  • NPI 1447758743
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1841544368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 GOOD HOPE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209056003",
            "telephone_number": "202-403-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 504F",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833277",
            "telephone_number": "301-560-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTA",
        "first_name": "MEKDES",
        "middle_name": "OBSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA9061",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "DC",
            "license": "31637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Laurine Kamguia Watchueng
• Ramadhani S Kamguna
• Sariana A Kamguna
• Zainabu S Kamguna
• Kyumars Kanani, DDS
• Rose Kanu
• Esodezan Kao
• Mededewe Kao
• Vijaykumar Kapse
• Karenga R. Lemmons, MD, LLC

• Home Health Aide in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.