GHISLAINE KENMEGNE DATOUO MOGO (NPI# 1164064705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064705 |
| Entity Type | Individual |
| Full Name | GHISLAINE KENMEGNE DATOUO MOGO |
| Practice Address |
4130 Hunt Pl Ne Washington DC 20019-3565 |
| Mailing Address |
9580 Muirkirk Rd Apt 101 Laurel MD 20708-2717 |
| Practice Telephone | 2026790620 |
| Mailing Telephone | 2407051096 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN1028252 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 000-000-000 | 05 |
| Street Address |
4130 HUNT PL NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750362463 | Yolanda Eugenia Klemmer | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2005-11-09 |
| 1609409374 | Alexis W De'sert | Counselor | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2020-02-20 |
| 1174180814 | Beverly Diana Gholston | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-05-28 |
| 1376008037 | Justina Adeti | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2019-02-07 |
| 1770080483 | Emmanuel Kamdem-sango | Nurse Practitioner | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2018-04-09 |
| 1619475175 | Bashirr Sheriff | Social Worker | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2018-01-30 |
| 1790209203 | Marie Lum | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-07-27 |
| 1871014340 | Rosaline Nkemasong Asonganyi | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019 | 2017-07-05 |
| 1427584614 | Debra Hickson | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-05-07 |
| 1013452820 | Tamakia Rivers | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016398 | Agatha Ifeyinwa Nwangwu | Nurse Practitioner | 7406 9th St Nw, Washington, DC 20012-1702 | 2020-02-22 |
| 1477184299 | Treacy Williams | Nurse Practitioner | 851 E 5th St Ste 308, Washington, MO 63090-3130 | 2020-01-30 |
| 1164052692 | Gregory Anyinam Obiwuma | Nurse Practitioner | 5807 8th St Ne, Washington, DC 20011-2711 | 2020-01-23 |
| 1336705193 | Adebayo Ojomo | Nurse Practitioner | 5008 13th St Ne, Washington, DC 20017-2805 | 2019-05-16 |
| 1932667326 | Adolice Medical Services Pllc | Nurse Practitioner | 7400 7th St Nw, Washington, DC 20012-1806 | 2019-03-05 |
| 1902204126 | Gemma Fioritto I | Nurse Practitioner | 6566 Squirrel Rdg, Washington, MI 48094-3528 | 2014-12-22 |
| 1710172895 | Jyotika Devi Vazirani | Nurse Practitioner | 1213 U Street Nw, Suite 1, Washington, DC 20009 | 2007-09-11 |
| 1932155108 | Lorraine I Carleo | Nurse Practitioner | 4115 Wisconsin Ave Nw, Suite 107, Washington, DC 20016-2812 | 2006-05-26 |
| 1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
| 1861091852 | Jemima Pierre-jacques | Nurse Practitioner | 1627 K St Nw Ste 400, Washington, DC 20006-1711 | 2020-10-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.