Organization Active NPI

Florence Eze Primary Care Clinic

  • Gerontology Nurse Practitioner
  • Washington, DC
National Provider Identifier
1134633019
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
FLORENCE EZE PRIMARY CARE CLINIC
Practice address
800 Decatur St NE
Washington, DC 20017-3917
Phone
(202) 718-1777
Fax
(202) 526-6888
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Florence T EzeNPI 1437687894
Title
Owner
Phone
(202) 718-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

800 Decatur St NE
Washington, DC 20017-3917

Mailing address

800 Decatur St NE
Washington, DC 20017-3917
Phone (202) 718-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180412002536 DC Part B Supplier - Clinic/Group Practice 8022371632 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC
O20200224000225 DC Part B Supplier - Clinic/Group Practice 1355778861 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1134633019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DECATUR ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173917",
            "telephone_number": "202-718-1777",
            "fax_number": "202-526-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DECATUR ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173917",
            "telephone_number": "202-718-1777",
            "fax_number": "202-526-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE EZE PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-718-1777"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "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 Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.