Nina Michelle Axiotakis, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

DO210001700 Issued in DC

Practice address

1320 19TH St NW Ste 202
Washington, DC 20036-1638

Phone

(202) 417-7568

NPI assigned

Mar 23, 2019

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 17, 2024 through Sep 17, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1811457989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 19TH ST NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361638",
            "telephone_number": "202-417-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 19TH ST NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361638",
            "telephone_number": "202-417-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXIOTAKIS",
        "first_name": "NINA",
        "middle_name": "MICHELLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "DO210001700",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0102208635",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "H0098406",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "DO210001700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice A. Awuro
• Edilbert F. Awuro
• Kervin Etamo Awuro
• Romaric Akoh Awuru
• Rachel L Axelsson, MSN, AGACNP-BC
• Adeline Ayaba
• Martin Ayaba
• Gladys Azuasay Ayafor
• Thelma Floribert Ayafor
• Ayah Care L.L.C (Ayah Care D.C)

• Child & Adolescent Psychiatry Physician in Washington, DC
• Providers in Washington, DC by specialty
• Child & Adolescent Psychiatry Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.