Individual provider Active NPI

Raphael Biassou Herisse

  • Community Health Worker
  • Washington, DC
National Provider Identifier
1588587513
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1513 Van Buren St NW
Washington, DC 20012-2835
Phone
(202) 275-3025
NPI assigned
Aug 4, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X DC
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X DC Primary

Addresses

Primary practice location

1513 Van Buren St NW
Washington, DC 20012-2835

Mailing address

1513 Van Buren St NW
1513 Van Buren St NW
Washington, DC 20012-2835
Phone (202) 275-3025

Other names 1

  • Legacia Branding Capital Other name

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": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1588587513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VAN BUREN ST NW",
            "address_2": "1513 VAN BUREN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122835",
            "telephone_number": "202-275-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 VAN BUREN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122835",
            "telephone_number": "202-275-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERISSE",
        "first_name": "RAPHAEL",
        "middle_name": "BIASSOU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEGACIA",
            "last_name": "CAPITAL",
            "middle_name": "BRANDING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 4, 2026; 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.