Individual provider Active NPI

Nazyra H Said

  • Home Health Aide
  • Mount Rainier, MD
National Provider Identifier
1871071043
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12507 Issued in DC
Practice address
4208 Russell Ave Apt 4
Mount Rainier, MD 20712-1721
Phone
(240) 906-0685
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 HHA12507 DC Primary

Addresses

Primary practice location

4208 Russell Ave Apt 4
Mount Rainier, MD 20712-1721

Mailing address

4208 Russell Ave Apt 4
Mount Rainier, MD 20712-1721
Phone (240) 906-0685

Other identifiers 1

IdentifierTypeStateIssuer
11351108470MedicaidMD

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
HHA12507DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1871071043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 RUSSELL AVE APT 4",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207121721",
            "telephone_number": "240-906-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 RUSSELL AVE APT 4",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207121721",
            "telephone_number": "240-906-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAID",
        "first_name": "NAZYRA",
        "middle_name": "H",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11351108470",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Rainier, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.