Active NPI
Charissa Scott
- Home Health Agency
- Capitol Heights, MD
National Provider Identifier
1912679028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0910048513
- Practice address
- 6814 Central Ave Apt 404
Capitol Heights, MD 20743-2790 - Phone
- (202) 288-0737
- NPI assigned
- Sep 28, 2021
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA0000811468 | DC | |
| Home Health Agency | 251E00000X | 0910048513 | DC | Primary |
Addresses
Primary practice location
6814 Central Ave Apt 404
Capitol Heights, MD 20743-2790
Mailing address
6814 Central Ave Apt 404
Capitol Heights, MD 20743-2790
Phone (202) 288-0737
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 |
|---|---|---|---|
| 0910048513 | DC | MD | Home Health Agency |
| NA0000811468 | DC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1912679028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6814 CENTRAL AVE APT 404",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207432790",
"telephone_number": "202-288-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6814 CENTRAL AVE APT 404",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207432790",
"telephone_number": "202-288-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CHARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NA0000811468",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "0910048513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.