Individual provider Active NPI

Iris Nadia Agossou

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1891293262
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13456 Issued in DC
Practice address
6735 New Hampshire Ave
Takoma Park, MD 20912-4865
Phone
(857) 222-4175
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA13456 DC Primary
Home Health Aide 374U00000X HHA13456

Addresses

Primary practice location

6735 New Hampshire Ave
Takoma Park, MD 20912-4865

Mailing address

6735 New Hampshire Ave Apt 713
Takoma Park, MD 20912-2829

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
HHA13456DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1891293262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE APT 713",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 NEW HAMPSHIRE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124865",
            "telephone_number": "857-222-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSSOU",
        "first_name": "IRIS",
        "middle_name": "NADIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13456",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": "HHA13456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.