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1881398402 NPI number — EMELINE LORE KOUMENE

NPI Number: 1881398402
Health Care Provider/Practitioner: EMELINE LORE KOUMENE

Information about “1881398402” NPI (EMELINE LORE KOUMENE) exists in 1881398402 in HTML format HTML  |  1881398402 in plain Text format TXT  |  1881398402 in PDF (Portable Document Format) PDF  |  1881398402 in an XML format XML  formats.

NPI Number : 1881398402 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881398402",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOUMENE",
    "FirstName": "EMELINE",
    "MiddleName": "LORE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2124 MARTIN LUTHER KING JR AVE SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20020-5732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-563-7632",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4245 BLAINE ST NE APT 30",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20019-4591",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-728-3645",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/28/2023",
    "LastUpdateDate": "02/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "374U00000X",
          "TaxonomyName": "Home Health Aide",
          "LicenseNumber": "HHA200001488",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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