Tobiah Lemuel Flanagan
Individual provider Active NPI Case Manager/Care Coordinator · Washington, DC
NPI 1346925906 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1346925906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024 - Phone
- (202) 547-8450
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024
Mailing address
5411 Montbel Ave
Gwynn Oak, MD 21207-6116
Phone (240) 838-6892
NPI Registry JSON
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1346925906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 MONTBEL AVE",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212076116",
"telephone_number": "240-838-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207024",
"telephone_number": "202-547-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "TOBIAH",
"middle_name": "LEMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Andrea Sarah Flamer
- Brendan Flanagan
- Kyla Michelle Flanagan
- Milan Noel Flanagan
- Nkiyah Flanagan
- Robin Neale Flanary
- Radhiya Nicole Flanders
- Carmen Arelis Flandez de Acosta
- Amber Flanigan
- Lillian Victoria Flannigan
All providers in Washington, DC · Case Manager/Care Coordinator in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.