Active NPI
Erica Patrice Pruitt
- Nurse's Aide
- Washington, DC
National Provider Identifier
1083196141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA00005768
- Practice address
- 3956 Pennsylvania Ave SE Apt T2
Washington, DC 20020-1196 - Phone
- (202) 580-0994
- NPI assigned
- Sep 5, 2018
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA00005768 | DC | Primary |
Addresses
Primary practice location
3956 Pennsylvania Ave SE Apt T2
Washington, DC 20020-1196
Mailing address
3956 Pennsylvania Ave SE Apt T2
Washington, DC 20020-1196
Phone (202) 580-0994
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 |
|---|---|---|---|
| NA00005768 | DC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1083196141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3956 PENNSYLVANIA AVE SE APT T2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200201196",
"telephone_number": "202-580-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3956 PENNSYLVANIA AVE SE APT T2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200201196",
"telephone_number": "202-580-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "ERICA",
"middle_name": "PATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NA00005768",
"primary": true
}
],
"identifiers": [],
"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 Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.