MY GENOME MY LIFE
Clinic/Center (Health Service)

Address: 1629 K St Nw Ste 300nw, Washington, DC 20006-1602

MY GENOME MY LIFE (NPI# 1245812288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245812288
Entity Type Organization
Organization Name MY GENOME MY LIFE
Practice Address 1629 K St Nw Ste 300nw
Washington
DC 20006-1602
Practice Telephone 2024760727
Mailing Address 1629 K St Nw Ste 300nw
Washington
DC 20006-1602
Mailing Telephone 2024760727
Certification Date 2021-04-28
Enumeration Date 2021-04-28
Last Update Date 2021-04-28
Authorized Official Telephone 2024760727
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 1629 K ST NW STE 300NW
City WASHINGTON
State DC
Zip Code 20006-1602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700249323 Prima Services Case Management 1629 K St Nw, Washington, DC 20006-1602 2016-03-31
1851832323 Guillermo Ybarra Counselor 1629 K St Nw, Ste 300, Washington, DC 20006-1602 2017-03-16
1942733753 Sarah King Social Worker - Clinical 1629 K St Nw, Suite 300, Washington, DC 20006-1602 2017-04-07
1447600887 Immaculata Supports, Inc. In Home Supportive Care 1629 K St Nw, 300, Washington, DC 20006-1602 2016-06-16
1184165656 Guillermo Ybarra Counselor - Mental Health 1629 K St Nw, Suite 300, Washington, DC 20006-1602 2017-03-16
1194339879 Jasmine C Dixon Social Worker 1629 K St Nw, Washington, DC 20006-1602 2020-09-01
1710553649 Hannah Rose Grice Pharmacy Technician 1629 K St Nw, Washington, DC 20006-1602 2021-06-01
1083062467 Metropolitan Center for Psychological Services Psychologist - Clinical 1629 K St Nw, Ste. 300, Washington, DC 20006-1602 2016-05-26
1083221774 Shanae Payne Counselor - Mental Health 1629 K St Nw, Washington, DC 20006-1602 2020-09-26
1609225317 Advid Care Inc Case Management 1629 K St Nw, 300, Washington, DC 20006-1602 2016-06-03
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1225489263 Vfranklin & Association Community/Behavioral Health 1629 K St. Nw Ste 300, Washington, DC 20006 2016-06-30
1548523517 Kaveh Zand Dentist - Endodontics 2021 K St Nw Ste 522, Washington, DC 20006 2012-06-24
1104314343 Tamara Jackson Psychologist 1725 I Street Nw, Suite 300, Washington, DC 20006 2018-04-24
1730693953 Bar Lehmann Social Worker - Clinical 1627 K St. Nw, Washington, DC 20006 2017-11-27
1093368300 Elizabeth M Carr Nurse Practitioner - Psych/Mental Health 910 17th Street, Nw, Suite 306, Washington, DC 20006 2019-07-17
1831653088 Faithnprogress Psychological Services, Pllc Psychologist - Clinical 1627 K St., Nw, 4th Floor, Washington, DC 20006 2019-01-22
1780015347 Alexander Gorodetsky Counselor - Professional 1901 Pennsylvania Avenue Nw, Suite 602, Washington, DC 20006 2013-12-09
1376007674 I. Shand Counseling Pllc Counselor - Professional 16290 K St Nw, Suite 300, Washington, DC 20006 2019-01-31
1689181414 Optimal Performance & Reconditioning Physical Therapist 2021 K St Nw Ste T125, Washington, DC 20006 2018-01-02
1992136592 Itselda Maria Shand-Gaines · Itselda Shand Counselor - Professional 1629 K St, Nw, Washinton, DC 20006 2013-12-06
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235640707 Universal Wellness Practitioners, Pllc Clinic/Center - Health Service 830 Otis Pl Nw, Washington, DC 20010-1516 2017-10-23
1932653706 Alphaedge, LLC. Clinic/Center - Health Service 811 44th St Ne, Washington, DC 20019-3637 2016-08-10
1700296225 Rafel Dwaine Rieves Clinic/Center - Health Service 1907 New Hampshire Ave Nw, Nw, Washington, DC 20009-3309 2014-05-06
1093094682 Apex Travel Medicine LLC Clinic/Center - Health Service 1900 L St Nw, Suite 204, Washington, DC 20036-5002 2011-08-12
1689806556 Aids Healthcare Foundation · Ahf Clinic/Center - Health Service 2141 K St Nw Ste 707, Washington, DC 20037-1810 2009-08-11
1780839928 Simmons Chiropractic LLC · Washington Wellness Center Clinic/Center - Health Service 1874 Highway A Ste 210, Washington, MO 63090-6448 2008-12-01
1073778122 Washington Chiropractic, LLC Clinic/Center - Health Service 5008 Connecticut Ave Nw, Washington, DC 20008-2063 2008-07-28
1295810117 Department of State Clinic/Center - Health Service Department of State, 2401 E Street Nw, M/Med/Qi, Sa-1, Washington, DC 20522-0102 2006-10-26
1861085102 Cityblock Medical Practice Dc PC Clinic/Center - Health Service 80 M St Se, Washington, DC 20003-3544 2021-02-18
1952924698 District Healthcare Services, LLC Clinic/Center - Health Service 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 2020-05-28
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City WASHINGTON
Zip Code 20006

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Dataset Information

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.