Active NPI
Kevin Kadeem Pearce
- Community Health Worker
- Washington, DC
National Provider Identifier
1225965502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 611 Division Ave NE
Washington, DC 20019-5457 - Phone
- (202) 204-1361
- NPI assigned
- May 8, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
611 Division Ave NE
Washington, DC 20019-5457
Mailing address
7603 Lake Glen Dr
Glenn Dale, MD 20769-2004
Phone (301) 674-5477
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1225965502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7603 LAKE GLEN DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207692004",
"telephone_number": "301-674-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 DIVISION AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195457",
"telephone_number": "202-204-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "KEVIN",
"middle_name": "KADEEM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-08",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"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 May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.