Individual provider Active NPI

Tigist Solomon Legese II

  • Personal Care Attendant
  • Washington, DC
National Provider Identifier
1841825130
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
3994874 Issued in DC
Practice address
2900 14TH St NW
Washington, DC 20009-6863
Phone
(571) 208-6007
NPI assigned
Mar 6, 2020
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
70638444MedicaidDC
3994874MedicaidDC

Electronic endpoints 3

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
3994874DCMDPersonal 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.

Verify at the official NPI Registry.