Latisha Ruby Blue

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1405 Brentwood Pkwy NE
Washington, DC 20002-2220

Phone

(202) 871-8635

NPI assigned

Jun 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1134657166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RYDERWOOD CT",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 BRENTWOOD PKWY NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022220",
            "telephone_number": "202-871-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Vermont Ave NW Ste 1003",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200054927",
            "country_code": "US",
            "telephone_number": "844-381-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "LATISHA",
        "middle_name": "RUBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Print Development , LLC
• Alexandra Amelie Blue
• Brenda B Blue, FNP
• Jazzmin Renee Blue
• Karen Blue
• Bluerock Primary Care
• Bluestone Counseling Group, PLLC
• Elizabeth Carhart Bluhm, M.D.
• Audra H Blum, M.D.
• Dylana Leigh Blum, PSY.D.

• School Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• School Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.