Active NPI
Tigist Solomon Legese II
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1841825130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 3994874
- Practice address
- 2900 14TH St NW
Washington, DC 20009-6863 - Phone
- (571) 208-6007
- NPI assigned
- Mar 6, 2020
- Last updated
- Nov 29, 2023
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 3994874 | DC | Primary |
Addresses
Primary practice location
2900 14TH St NW
Washington, DC 20009-6863
Mailing address
503 Rock Creek Church Rd NE
Washington, DC 20010
Phone (202) 855-6870
Other practice location 1
503 rock creek church rd ne
Washington, DC 20010
Phone (202) 855-6870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70638444 | Medicaid | DC | |
| 3994874 | Medicaid | DC |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HHA | Direct | |
| CONNECT URL | HHA | Direct | |
| CONNECT URL | HHA | Direct |
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 |
|---|---|---|---|
| 3994874 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1841825130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 ROCK CREEK CHURCH RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-855-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 14TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096863",
"telephone_number": "571-208-6007"
}
],
"practiceLocations": [
{
"address_1": "503 rock creek church rd ne",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20010",
"country_code": "US",
"telephone_number": "202-855-6870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEGESE",
"first_name": "TIGIST",
"middle_name": "SOLOMON",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "3994874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70638444",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3994874",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HHA",
"affiliation": "N",
"endpointDescription": "Private care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2900 14th St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200096863",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HHA",
"affiliation": "N",
"endpointDescription": "Private care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2900 14th St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200096863",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HHA",
"affiliation": "N",
"endpointDescription": "Private care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2900 14th St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200096863",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.