Active NPI
Latill Mabry
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1407208051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 82 Galveston St SW
Apt T1
Washington, DC 20032-1987 - Phone
- (202) 677-9021
- NPI assigned
- Jul 7, 2016
- Last updated
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary | |
| Home Health Aide | 374U00000X | NU |
Addresses
Primary practice location
82 Galveston St SW
Apt T1
Washington, DC 20032-1987
Mailing address
82 Galveston St SW
Apt T1
Washington, DC 20032-1987
Phone (202) 677-9021
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": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1407208051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 GALVESTON ST SW",
"address_2": "APT T1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321987",
"telephone_number": "202-677-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 GALVESTON ST SW",
"address_2": "APT T1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321987",
"telephone_number": "202-677-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "LATILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.