NPIMap

Organization Active NPI

Phase LL Academy

  • Specialist
  • Washington, DC
National Provider Identifier
1225246820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHASE LL ACADEMY
Practice address
501 E St SE
Washington, DC 20003-4236
Phone
(202) 544-0261
Fax
(202) 544-0262
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sherry Dean Fenner
Title
Program Director
Phone
(202) 544-0261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

501 E St SE
Washington, DC 20003-4236

Mailing address

3601 Hamilton St
Suite 204
Hyattsville, MD 20782-3946
Phone (202) 544-0261

National Provider Directory

National Provider Directory
Tax ID family
Phase LL Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 E St SE
Washington, DC 20003
Phone (202) 544-0261

3601 Hamilton St
Ste 204
Hyattsville, MD 20782

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225246820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HAMILTON ST",
            "address_2": "SUITE 204",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823946",
            "telephone_number": "202-544-0261",
            "fax_number": "202-544-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034236",
            "telephone_number": "202-544-0261",
            "fax_number": "202-544-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE LL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENNER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "202-544-0261",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Aug 22, 2020; 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.