Kehinde S Dare

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1992067706 · NPPES record last updated Jun 8, 2012

Key facts

NPI
1992067706
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
2221 Randolph St NE
Washington, DC 20018-3069
Phone
(202) 704-6698
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

2221 Randolph St NE
Washington, DC 20018-3069

Mailing address

2221 Randolph St NE
Washington, DC 20018-3069
Phone (202) 704-6698

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2012.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1992067706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 RANDOLPH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183069",
            "telephone_number": "202-704-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 RANDOLPH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183069",
            "telephone_number": "202-704-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARE",
        "first_name": "KEHINDE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Home Health Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.