Address: 1537 Channing St Ne, Washington, DC 20018-2005

TYRA MONIQUE WILLIAMS (NPI# 1538748728) 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) 1538748728
Entity Type Individual
Gender Female
Practice Address 1537 Channing St Ne
DC 20018-2005
Practice Telephone 2029238985
Mailing Address 1537 Channing St Ne
DC 20018-2005
Certification Date 2021-04-05
Enumeration Date 2021-04-05
Last Update Date 2021-04-05
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 171400000X DC

Office Location

Street Address 1537 CHANNING ST NE
State DC
Zip Code 20018-2005

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1053722900 Adolph W Johnson Sr. Dentist 1840 Michigan Avenue Ne, Washington, DC 20018 2014-05-14
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Taxonomy Information

Taxonomy Definition


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Zip Code 20018

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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.