Individual provider Active NPI

Williams Jaze Songkwe

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1841743754
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12199 Issued in DC
Practice address
1022 Quebec Ter
#304
Silver Spring, MD 20903-3128
Phone
(571) 332-7284
NPI assigned
Jul 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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 HHA12199 DC Primary

Addresses

Primary practice location

1022 Quebec Ter
#304
Silver Spring, MD 20903-3128

Mailing address

1022 Quebec Ter
#304
Silver Spring, MD 20903-3128

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
HHA12199DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1841743754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 QUEBEC TER",
            "address_2": "#304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209033128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 QUEBEC TER",
            "address_2": "#304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209033128",
            "telephone_number": "571-332-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGKWE",
        "first_name": "WILLIAMS",
        "middle_name": "JAZE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12199",
            "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 Aug 5, 2016; 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.