Individual provider Active NPI

Isatu Yakatie Kaloko

  • Home Health Aide
  • Alexandria, VA
National Provider Identifier
1871363861
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
1401188821 Issued in VA
Practice address
5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755
Phone
(571) 388-0172
Fax
(571) 771-1076
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Early Intervention Provider Agency 252Y00000X
Developmental Disabilities Clinic/Center 261QD1600X
Chore Provider 372500000X
Homemaker 376J00000X
Nurse's Aide 376K00000X 1401188821 VA
Nurse's Aide 376K00000X
Respite Care 385H00000X
Home Health Aide 374U00000X 1401188821 VA Primary

Addresses

Primary practice location

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755

Mailing address

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755
Phone (571) 388-0172

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
1401188821VAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Home Health Choices LLC Early Intervention Provider Agency Current Accepting new patients

Locations

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1871363861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "571-388-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "571-388-0172",
            "fax_number": "571-771-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOKO",
        "first_name": "ISATU",
        "middle_name": "YAKATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401188821",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "1401188821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.