Brice Djikegoue, RN (BSN)

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R4768P Issued in MD

Practice address

11900 Parklawn Dr Ste 200
Rockville, MD 20852-2669

Phone

(301) 500-6145

Fax

(240) 332-8787

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1982214557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 PARKLAWN DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522669",
            "telephone_number": "301-500-6145",
            "fax_number": "240-332-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 PARKLAWN DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522669",
            "telephone_number": "301-500-6145",
            "fax_number": "240-332-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJIKEGOUE",
        "first_name": "BRICE",
        "name_prefix": "Mr.",
        "credential": "RN (BSN)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R4768P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allscripts",
            "affiliation": "N",
            "endpointDescription": "Referral port",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11900 Parklawn Dr Ste 200",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208522669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Brittany Ann Doan, MS ED, BCBA, LBA
• Eileen Doane, RN
• Patricia Gillen Doane, LCPC

• Home Health Agency in Rockville, MD
• Providers in Rockville, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.