Active NPI
Marriette Ekinde Mambo
- Home Health Aide
- Washington, DC
National Provider Identifier
1992281703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA13809
- Practice address
- 901 1St St NW
Washington, DC 20001-1403 - Phone
- (202) 282-3100
- NPI assigned
- Jul 15, 2018
- 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 | HHA13809 | WA | Primary |
Addresses
Primary practice location
901 1St St NW
Washington, DC 20001-1403
Mailing address
10424 Floral Dr
Adelphi, MD 20783-1226
Phone (240) 595-8717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48246459 | Other | KAISER PERMANENTE |
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 |
|---|---|---|---|
| HHA13809 | WA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531612800000",
"number": "1992281703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10424 FLORAL DR",
"city": "ADELPHI",
"state": "MD",
"postal_code": "207831226",
"telephone_number": "240-595-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 1ST ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200011403",
"telephone_number": "202-282-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMBO",
"first_name": "MARRIETTE",
"middle_name": "EKINDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-15",
"last_updated": "2018-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WA",
"license": "HHA13809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "48246459",
"state": null
}
],
"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 Jul 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.