Active NPI
Florence Eze Primary Care Clinic
- Gerontology Nurse Practitioner
- Washington, DC
National Provider Identifier
1134633019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Florence T Eze
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 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 DC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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.