Individual provider Active NPI

Naomi H Mandishona

  • Case Management Registered Nurse
  • Washington, DC
National Provider Identifier
1912277401
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN1018823 Issued in DC
Practice address
143 Kennedy St NW
Suite 10
Washington, DC 20011-5228
Phone
(202) 450-3608
NPI assigned
Dec 30, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R187647 MD
Case Management Registered Nurse 163WC0400X RN1018823 DC Primary

Addresses

Primary practice location

143 Kennedy St NW
Suite 10
Washington, DC 20011-5228

Mailing address

143 Kennedy St NW
Suite 10
Washington, DC 20011-5228
Phone (202) 450-3608

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
R187647MDMDRegistered Nurse
RN1018823DCMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
VTM Services, LLC Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1912277401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 KENNEDY ST NW",
            "address_2": "SUITE 10",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115228",
            "telephone_number": "202-450-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 KENNEDY ST NW",
            "address_2": "SUITE 10",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115228",
            "telephone_number": "202-450-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDISHONA",
        "first_name": "NAOMI",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R187647",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "DC",
            "license": "RN1018823",
            "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 Dec 30, 2011; 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.