Active NPI
Selma Raphael
- Registered Nurse
- Washington, DC
National Provider Identifier
1104684331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001311662
- Practice address
- 3700 O St NW
Washington, DC 20057-0002 - Phone
- (202) 687-4221
- NPI assigned
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1058696 | DC | |
| Registered Nurse | 163W00000X | 0001311662 | VA | Primary |
Addresses
Primary practice location
3700 O St NW
Washington, DC 20057-0002
Mailing address
3636 Reservoir Rd NW
Washington, DC 20007-2338
Phone (804) 339-9690
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 |
|---|---|---|---|
| RN1058696 | DC | MD | Registered Nurse |
| 0001311662 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1104684331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072338",
"telephone_number": "804-339-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 O ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200570002",
"telephone_number": "202-687-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPHAEL",
"first_name": "SELMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1058696",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001311662",
"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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.