Active NPI
Kenneth Degraphenreid
- Adult Companion
- Washington, DC
National Provider Identifier
1841813755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 4800 E Capitol St NE Apt 405
Washington, DC 20019-5216 - Phone
- (202) 397-7044
- NPI assigned
- May 26, 2020
- Last updated
- May 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
4800 E Capitol St NE Apt 405
Washington, DC 20019-5216
Mailing address
3959 Blaine St NE
Washington, DC 20019-3334
Phone (202) 841-9315
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": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1841813755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BLAINE ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193334",
"telephone_number": "202-841-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 E CAPITOL ST NE APT 405",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195216",
"telephone_number": "202-397-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAPHENREID",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.