Mikea Dickens-Gibson

Individual provider Active NPI Nurse's Aide · Washington, DC

NPI 1447071246 · NPPES record last updated Oct 23, 2024

Key facts

NPI
1447071246
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
NA0000814127 (DC)
Practice address
3461 22ND St SE
Washington, DC 20020-6149
Phone
(202) 373-8895
NPI assigned
Oct 23, 2024
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
NA0000814127DCMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA0000814127 DC Yes

Addresses

Primary practice location

3461 22ND St SE
Washington, DC 20020-6149

Mailing address

3461 22ND St SE
Washington, DC 20020-6149
Phone (202) 373-8895

Other providers in Washington, DC

All providers in Washington, DC · Nurse's Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.