Deithra Patrick (NPI# 1265037063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1265037063 |
Entity Type | Individual |
Full Name | Deithra Patrick |
Gender | Female |
Practice Address |
2327 14th Pl Se Washington DC 20020-4401 |
Practice Telephone | 2023087036 |
Mailing Address |
2327 14th Pl Se Washington DC 20020-4401 |
Mailing Telephone | 2023087036 |
Sole Proprietor | Yes, this individual is a Sole Proprietor |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
Yes | 3747P1801X | Technician · Personal Care Attendant | Nursing Service Related Providers |
State | Identifier | Issuer | Type Code |
---|---|---|---|
DC | 0070066632 | MEDICAID |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649876954 | Shaneka Chantel Beverly | Technician | 502 M St Nw Apt 1, Washington, DC 20001-3663 | 2020-12-10 |
1700482288 | Makala Wolfe | Technician | 52 Mccormick Rd, Washington, WV 26181-3588 | 2020-12-09 |
1689270423 | Lessie Cole | Technician | 3313 6th St Se, Washington, DC 20032-3812 | 2020-12-08 |
1215533070 | Eunice Long | Technician | 3700 9th St Se Apt 709, Washington, DC 20032-4022 | 2020-12-08 |
1750987582 | John L Wright | Technician | 2311 Good Hope Ct Se Apt 203, Washington, DC 20020-3671 | 2020-12-08 |
1164028122 | Stephen Mcdow | Technician | 1140 N Capitol St Nw Apt 203, Washington, DC 20002-7550 | 2020-12-07 |
1508461641 | Peter Lavatto | Technician | 914 Independence Ave Se, Washington, DC 20003-3918 | 2020-12-04 |
1609471069 | Ramadhani Abdullah Mtunguja | Technician | 4260 Clay St Ne Apt 2, Washington, DC 20019-3434 | 2020-12-03 |
1619572104 | Lolita Alvina Lloyd | Technician | 1200 Irving St Nw Apt 102, Washington, DC 20010-2431 | 2020-12-02 |
1124623095 | Maureen Leak | Technician | 13 Bass Cir Se Apt 102, Washington, DC 20019-5138 | 2020-12-01 |
Find all providers in WASHINGTON |
Street Address |
2327 14TH PL SE |
City | WASHINGTON |
State | DC |
Zip Code | 20020-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
Find all providers in zip 20020 |
City | WASHINGTON |
Zip Code | 20020 |
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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.