Active NPI
Ide Afi Ogoudedji
- Home Health Aide
- Takoma Park, MD
National Provider Identifier
1982115440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA13209
- Practice address
- 6731 New Hampshire Ave Apt 512
Takoma Park, MD 20912-2804 - Phone
- (240) 429-1104
- NPI assigned
- Oct 23, 2017
- 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 | HHA13209 | DC | Primary |
Addresses
Primary practice location
6731 New Hampshire Ave Apt 512
Takoma Park, MD 20912-2804
Mailing address
6731 New Hampshire Ave,Apt 512
Takoma Park, MD 20912
Phone (240) 429-1104
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 |
|---|---|---|---|
| HHA13209 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1982115440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVE,APT 512",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "20912",
"telephone_number": "240-429-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6731 NEW HAMPSHIRE AVE APT 512",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209122804",
"telephone_number": "240-429-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGOUDEDJI",
"first_name": "IDE",
"middle_name": "AFI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA13209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.