Active NPI
Valerie Lewis Taylor
- Prevention Professional
- Washington, DC
National Provider Identifier
1053939504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 2053930
- Practice address
- 1350 Franklin St NE
Washington, DC 20017-2446 - Phone
- (202) 417-4433
- NPI assigned
- Jul 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 2053930 | DC | Primary |
Addresses
Primary practice location
1350 Franklin St NE
Washington, DC 20017-2446
Mailing address
1350 Franklin St NE
Washington, DC 20017-2446
Phone (202) 417-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3519135 | Other | DC | CPR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2053930 | DC | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1053939504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 FRANKLIN ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172446",
"telephone_number": "202-417-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 FRANKLIN ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172446",
"telephone_number": "202-417-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS TAYLOR",
"first_name": "VALERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "DC",
"license": "2053930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPR",
"identifier": "3519135",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.