Active NPI
Agnes Udeh
- Home Health Aide
- Washington, DC
National Provider Identifier
1902165996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA0181
- Practice address
- 3700 9TH St SE Apt 614
Washington, DC 20032-4043 - Phone
- (202) 536-0768
- NPI assigned
- May 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | HHA0181 | DC | Primary |
Addresses
Primary practice location
3700 9TH St SE Apt 614
Washington, DC 20032-4043
Mailing address
1416 9TH St NW
Washington, DC 20001-3344
Phone (202) 483-9111
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA0181 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1902165996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 9TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013344",
"telephone_number": "202-483-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 9TH ST SE APT 614",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324043",
"telephone_number": "202-536-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEH",
"first_name": "AGNES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA0181",
"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 Jun 4, 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.