Active NPI
Deshawn Christine Davis
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1205494374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 9575328
- Practice address
- 2800 Shipley Ter SE Apt 103
Washington, DC 20020-1814 - Phone
- (202) 469-0196
- NPI assigned
- Jun 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 9575328 | DC | Primary |
Addresses
Primary practice location
2800 Shipley Ter SE Apt 103
Washington, DC 20020-1814
Mailing address
1817 Gainesville St SE Apt I
Washington, DC 20020-3216
Phone (240) 713-4901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22210568 | Medicaid | DC |
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 |
|---|---|---|---|
| 9575328 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1205494374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 GAINESVILLE ST SE APT I",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203216",
"telephone_number": "240-713-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SHIPLEY TER SE APT 103",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200201814",
"telephone_number": "202-469-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DESHAWN",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "9575328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22210568",
"state": "DC"
}
],
"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 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.