Active NPI
Terry Alexander Hatchett III
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1962981779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 3059962
- Practice address
- 2300 Good Hope Rd SE Apt 927
Washington, DC 20020-5142 - Phone
- (240) 708-6857
- Fax
- (202) 750-7387
- NPI assigned
- Aug 13, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 3059962 | DC | Primary |
Addresses
Primary practice location
2300 Good Hope Rd SE Apt 927
Washington, DC 20020-5142
Mailing address
2300 Good Hope Rd SE Apt 927
Washington, DC 20020-5142
Phone (240) 708-6857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3059962 | Other | DC | STATE ID |
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 |
|---|---|---|---|
| 3059962 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1962981779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 GOOD HOPE RD SE APT 927",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205142",
"telephone_number": "240-708-6857",
"fax_number": "202-750-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GOOD HOPE RD SE APT 927",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205142",
"telephone_number": "240-708-6857",
"fax_number": "202-750-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHETT",
"first_name": "TERRY",
"middle_name": "ALEXANDER",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "3059962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "3059962",
"state": "DC"
}
],
"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 Aug 13, 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.