NPIMap

Organization Active NPI

Whitman-Walker Clinic, Inc.

Doing business as Whitman Walker Health

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1821113341
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WHITMAN-WALKER CLINIC, INC.
Doing business as
Whitman Walker Health
Practice address
1201 Sycamore Dr SE
Washington, DC 20032-5956
Phone
(202) 745-7000
NPI assigned
Mar 21, 2007
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Ms. Naseema B Shafi
Title
Ceo
Phone
(202) 797-3572

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X DC Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1201 Sycamore Dr SE
Washington, DC 20032-5956

Mailing address

1377 R St NW FL NW2
Washington, DC 20009-6293
Phone (202) 745-7000

Other practice location 1

2301 Martin Luther King, Jr., Ave, SE
Washington, DC 20020
Phone (202) 745-7000

Other names 1

  • Whitman Walker Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130328000507 DC Part A Provider - Federally Qualified Health Center (FQHC) 6507755196 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821113341. Details of each certification follow.

Federally qualified health center certification: CCN 091848

Legal name
WHITMAN-WALKER CLINIC, INC.
Doing business as
WHITMAN WALKER HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 28, 2013
Last certification
Mar 28, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 13, 1978 in WA
Enrollment address
1201 Sycamore Dr SE
Washington, DC 20032-5956

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Whitman-Walker Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 Sycamore Dr SE
Washington, DC 20032
Phone (202) 745-7000

1377 R St NW
Ste 2
Washington, DC 20009

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meghan Davies Individual Corporate Director Jun 1, 2018
Lorrie McHugh Individual Corporate Officer Jun 1, 2018
Andre Eleazer Individual Corporate OfficerSecretary Sep 1, 2010
Donald B Blanchon Individual Corporate OfficerCeo May 1, 2006
Operational/Managerial Control May 1, 2006
Naseema B Shafi Individual Corporate OfficerCoo May 29, 2007
Alison M Gill Individual Corporate Officer Jun 1, 2018
Sandy James Individual Corporate Officer Jun 1, 2018
Ann Bonham Individual Corporate Officer Jun 1, 2018
Sarah L. Henn Individual Corporate Director Jun 1, 2018
Travis Patton Individual Corporate Officer Jun 1, 2018
Winifred Quinn Individual Corporate Director Feb 26, 2013
Consuella Lopez Individual Corporate Officer Jun 1, 2018
James Rollins Individual Corporate Officer Jun 1, 2018
Thomas H Bullock Individual Corporate Officer Jun 1, 2018
Harry Fox Individual Corporate Officer Jun 1, 2018
Wade Harman Individual Corporate Officer Jun 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1821113341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 R ST NW FL NW2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096293",
            "telephone_number": "202-745-7000",
            "fax_number": "202-797-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SYCAMORE DR SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325956",
            "telephone_number": "202-745-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Martin Luther King, Jr., Ave, SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20020",
            "country_code": "US",
            "telephone_number": "202-745-7000",
            "fax_number": "202-797-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITMAN-WALKER CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "NASEEMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-797-3572",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "DC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitman Walker Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.