Generational Health Community Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GENERATIONAL HEALTH COMMUNITY CLINIC

Practice address

617 Rhode Island Ave NE Ste D
Washington, DC 20002-1299

Phone

(202) 486-1152

NPI assigned

Sep 7, 2022

Organization subpart

Yes

Parent organization

WICKIDS YOUTH MENTORING AND COMMUNITY ADVOCACYAs reported in NPPES

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

Authorized official

Name

Ms. Kimberly M Burris, WCA

Title

Wound Care Associate

Phone

(202) 486-1152

Specialties & licenses 2

Addresses

Other names 1

• Generational Health Clinic Community Emergency Response Team Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1245951276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RHODE ISLAND AVE NE STE D",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021299",
            "telephone_number": "202-486-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RHODE ISLAND AVE NE STE D",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021299",
            "telephone_number": "202-486-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL HEALTH COMMUNITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WICKIDS YOUTH MENTORING AND COMMUNITY ADVOCACY",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "WOUND CARE ASSOCIATE",
        "authorized_official_telephone_number": "202-486-1152",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "WCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wearedcwickids.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "617 Rhode Island Ave NE Ste D",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200021299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Generational Health Clinic Community Emergency Response Team",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zewdnesh Gemesa
• General Surgical Associates
• Tammie General
• Laura Marie Generale, MD
• Generation Hope
• Genesis Healthcare LLC
• Shayne Geneva, RD, LD
• Giuliana Geng-Ramos, MD
• Gerumshoa Wolde Gengata
• Teri Fuller Gennarelli, LICSW

• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.