Raphaelia Agnes Johnson-Phillips
Individual provider Active NPI Personal Care Attendant · Washington DC, DC
NPI 1013475284 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1013475284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 440 Taylor St. NE Building B Apt 22
Washington DC, DC 20017 - Phone
- (202) 207-7572
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
440 Taylor St. NE Building B Apt 22
Washington DC, DC 20017
Mailing address
5901 Knollbrook Dr Apt 102
Hyattsville, MD 20783-3300
Phone (240) 423-5013
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.