Active NPI
Shirrelle Wallace
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1306653886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 2412 Franklin St NE Apt 101
Washington, DC 20018-4203 - Phone
- (202) 847-7496
- NPI assigned
- Dec 17, 2024
- 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 | Primary |
Addresses
Primary practice location
2412 Franklin St NE Apt 101
Washington, DC 20018-4203
Mailing address
2847 Mills Ave NE
Washington, DC 20018-2556
Phone (202) 847-7496
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": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1306653886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2847 MILLS AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200182556",
"telephone_number": "202-847-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 FRANKLIN ST NE APT 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200184203",
"telephone_number": "202-847-7496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "SHIRRELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2025-03-10",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.