Active NPI
Etienne Boussougou
- Home Health Aide
- Washington, DC
National Provider Identifier
1942568738
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1818 New York Ave NE
117 Global Healthcare
Washington, DC 20002 - Phone
- (202) 480-0813
- Fax
- (202) 269-4184
- NPI assigned
- Apr 30, 2012
- Sex
- Male
- 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
1818 New York Ave NE
117 Global Healthcare
Washington, DC 20002
Mailing address
1818 New York Ave NE
117 Global Healthcare
Washington, DC 20002
Phone (202) 480-0813
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1942568738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 NEW YORK AVE NE",
"address_2": "117 GLOBAL HEALTHCARE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"telephone_number": "202-480-0813",
"fax_number": "202-269-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 NEW YORK AVE NE",
"address_2": "117 GLOBAL HEALTHCARE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"telephone_number": "202-480-0813",
"fax_number": "202-269-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUSSOUGOU",
"first_name": "ETIENNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"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 Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.