Individual provider Active NPI

Julius Nyambi

  • Home Health Aide
  • Annandale, VA
National Provider Identifier
1982478087
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
4467-03-011 Issued in VA
Practice address
8205 Mockingbird Dr
Annandale, VA 22003-3713
Phone
(443) 469-5619
NPI assigned
Nov 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 4467-03-011 VA Primary

Addresses

Primary practice location

8205 Mockingbird Dr
Annandale, VA 22003-3713

Mailing address

57 Caraway Rd
Reisterstown, MD 21136-2521
Phone (443) 469-5619

Other practice location 1

8205 Mockingbird Dr
Annandale, VA 22003-3713
Phone (443) 469-5619

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

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1982478087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CARAWAY RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362521",
            "telephone_number": "443-469-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 MOCKINGBIRD DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033713",
            "telephone_number": "443-469-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8205 Mockingbird Dr",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033713",
            "country_code": "US",
            "telephone_number": "443-469-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYAMBI",
        "first_name": "JULIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "4467-03-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.