Carla Yaje Mancho, RN/BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R242641 Issued in MD

Practice address

7506 Georgia Ave NW
Washington, DC 20012-1608

Phone

(202) 291-6973

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1972176543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 SERVICEBERRY DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037996",
            "telephone_number": "240-328-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121608",
            "telephone_number": "202-291-6973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6735 Serviceberry Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217037996",
            "country_code": "US",
            "telephone_number": "240-328-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHO",
        "first_name": "CARLA",
        "middle_name": "YAJE",
        "credential": "RN/BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1052839",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R242641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Frederick",
            "affiliation": "N",
            "endpointDescription": "home address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Frederick",
            "address_1": "6735 Serviceberry Dr",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217037996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Frederick",
            "affiliation": "N",
            "endpointDescription": "home address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6735 Serviceberry Dr",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217037996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dong Doe Man
• Nancy L Manahan, MD
• Mulu Manahilo
• Ashley Manalel, PA-C
• Henry James Salva Mancao
• Tche Nwi Mancho
• Katia V Mancia
• Michael Mancilla, LICSW
• Brigit Luper Mancini, LISW-CP, CACI
• David Mancini, RN

• Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.