Individual provider Active NPI

Victory Smith Aziah Fri Ezinjo

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1992223689
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HH13036 Issued in DC
Practice address
2010 Rhode Island Ave NE
Washington, DC 20018-2835
Phone
(301) 339-4396
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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 HH13036 DC Primary

Addresses

Primary practice location

2010 Rhode Island Ave NE
Washington, DC 20018-2835

Mailing address

9769 Good Luck Rd
Lanham, MD 20706-3333

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

LicenseStateTypeSpecialty
HH13036DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1992223689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9769 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182835",
            "telephone_number": "301-339-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRI EZINJO",
        "first_name": "VICTORY SMITH AZIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HH13036",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 1, 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.

Verify at the official NPI Registry.