Individual provider Active NPI

Carlandzo Smith, FIRST AID CPR AED

  • Home Health Aide
  • Fort Washington, MD
National Provider Identifier
1891560330
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
1519680 Issued in DC
Practice address
6306 Caryhurst Dr
Fort Washington, MD 20744-3115
Phone
(202) 489-1427
NPI assigned
Nov 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 1519680 DC Primary

Addresses

Primary practice location

6306 Caryhurst Dr
Fort Washington, MD 20744-3115

Mailing address

6306 Caryhurst Dr
Fort Washington, MD 20744-3115
Phone (202) 489-1427

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
1519680DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1891560330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 CARYHURST DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443115",
            "telephone_number": "202-489-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 CARYHURST DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443115",
            "telephone_number": "202-489-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLANDZO",
        "credential": "FIRST AID CPR AED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "1519680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.