Active NPI
Tenaye Mulat
- Home Health Aide
- Wheaton, MD
National Provider Identifier
1982065173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 11802
- Practice address
- 11175 Georgia Ave Apt 226
Wheaton, MD 20902-4616 - Phone
- (240) 425-2010
- NPI assigned
- Mar 15, 2016
- Last updated
- Mar 15, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 11802 | DC | Primary |
Addresses
Primary practice location
11175 Georgia Ave Apt 226
Wheaton, MD 20902-4616
Mailing address
11175 Georgia Ave Apt 226
Wheaton, MD 20902-4616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0949 | Medicaid | DC |
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 |
|---|---|---|---|
| 11802 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1982065173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 GEORGIA AVE APT 226",
"city": "WHEATON",
"state": "MD",
"postal_code": "209024616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 GEORGIA AVE APT 226",
"city": "WHEATON",
"state": "MD",
"postal_code": "209024616",
"telephone_number": "240-425-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULAT",
"first_name": "TENAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "11802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0949",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.