Active NPI
Pauline Kwokam
- Home Health Aide
- Washington, DC
National Provider Identifier
1992128854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA10361
- Practice address
- 267 Hawaii Ave NE
Washington, DC 20011-4927 - Phone
- (202) 702-6143
- NPI assigned
- Jan 29, 2014
- Last updated
- Feb 24, 2014
- 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 | HHA10361 | DC | Primary |
Addresses
Primary practice location
267 Hawaii Ave NE
Washington, DC 20011-4927
Mailing address
267 Hawaii Ave NE
Washington, DC 20011-4927
Phone (202) 243-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70776730 | 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 |
|---|---|---|---|
| HHA10361 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1992128854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 HAWAII AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200114927",
"telephone_number": "202-243-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 HAWAII AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200114927",
"telephone_number": "202-702-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOKAM",
"first_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA10361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70776730",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.