Active NPI
Wagaye Kidanewold
- Home Health Aide
- Washington, DC
National Provider Identifier
1871853390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 821 Kennedy St NW
Washington, DC 20011-2913 - Phone
- (202) 722-1725
- Fax
- (202) 722-1726
- NPI assigned
- May 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
821 Kennedy St NW
Washington, DC 20011-2913
Mailing address
821 Kennedy St NW
Washington, DC 20011-2913
Phone (202) 722-1725
Other practice location 1
1025 Thomas Jefferson St NW
180G
Washington, DC 20007-5201
Phone (202) 299-1109
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol View Home Healthcare Agency | Home Health | Past | Accepting new patients |
| ABA Inc | Home Health | Past | Accepting new patients |
Organizations & group practices 2
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": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1871853390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 KENNEDY ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112913",
"telephone_number": "202-722-1725",
"fax_number": "202-722-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 KENNEDY ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112913",
"telephone_number": "202-722-1725",
"fax_number": "202-722-1726"
}
],
"practiceLocations": [
{
"address_1": "1025 Thomas Jefferson St NW",
"address_2": "180G",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200075201",
"country_code": "US",
"telephone_number": "202-299-1109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIDANEWOLD",
"first_name": "WAGAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"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 Mar 26, 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.