Active NPI
Dana Blossom Julien, J450135092554
- Home Health Aide
- Washington, DC
National Provider Identifier
1922582295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1744 T St NW
Washington, DC 20009-7101 - Phone
- (202) 669-2682
- NPI assigned
- Sep 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1744 T St NW
Washington, DC 20009-7101
Mailing address
6122 Otis St
Hyattsville, MD 20785-1036
Phone (202) 705-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J450135092554 | Other | MD | MD DL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1922582295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6122 OTIS ST",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207851036",
"telephone_number": "202-705-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 T ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200097101",
"telephone_number": "202-669-2682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIEN",
"first_name": "DANA",
"middle_name": "BLOSSOM",
"credential": "J450135092554",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD DL",
"identifier": "J450135092554",
"state": "MD"
}
],
"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 Sep 21, 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.