VERA MAE WARD PCA
Complete NPI Record 1336404920
Home Health Aide in Washington, DC

NPI Status: Active since July 10, 2012

Contact Information

1420 K STREET NW
WASHINGTON, DC
ZIP 20005
Phone: (202) 293-2931
Fax: (202) 293-3480

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Complete NPI Dataset

This page represents the complete record for NPI 1336404920. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1336404920
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Entity Type Code: 1
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider First Name: VERA
The city name in the location address of the provider being identified.
Provider Middle Name: MAE
The State code in the location of the provider being identified.
Provider Credential Text: PCA
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Line Business Mailing Address: 1420 K STREET NW
The country code in the location address of the provider being identified.
Provider Business Mailing Address City Name: WASHINGTON
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address State Name: DC
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 20005
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Telephone Number: 2022932931
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address Fax Number: 2022933480
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider First Line Business Practice Location Address: 1420 K STREET NW
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address City Name: WASHINGTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: DC
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 20005
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 2022932931
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 2022933480
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 7/10/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/10/2012
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 374U00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No