Individual provider Active NPI

Jennifer Konadu, RN

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1861157646
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1062761 Issued in DC
Practice address
955 Lenfant PLZ SW Ste 985
Washington, DC 20024-6104
Phone
(202) 282-3004
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP53637 MD
Registered Nurse 163W00000X 202101556RN OR
Registered Nurse 163W00000X RN1062761 DC Primary
Registered Nurse 163W00000X 1056627 TX

Addresses

Primary practice location

955 Lenfant PLZ SW Ste 985
Washington, DC 20024-6104

Mailing address

9461 Muirkirk Rd Apt 101
Laurel, MD 20708-2790
Phone (202) 651-1554

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1062761DCMDRegistered Nurse
202101556RNORMDRegistered Nurse
1056627TXMDRegistered Nurse
LP53637MDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
D.C. Home Health Holdings LLC PastSince Nov 9, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1861157646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 MUIRKIRK RD APT 101",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082790",
            "telephone_number": "202-651-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LENFANT PLZ SW STE 985",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200246104",
            "telephone_number": "202-282-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONADU",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP53637",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202101556RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1062761",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1056627",
            "primary": false
        }
    ],
    "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 Nov 5, 2021; 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.