Active NPI
Tyanna Proctor
- Adult Companion
- Washington, DC
National Provider Identifier
1881300739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1100 Eastern Ave NE Apt PH4
Washington, DC 20019-4036 - Phone
- (202) 609-2500
- NPI assigned
- Jan 24, 2023
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | Primary |
Addresses
Primary practice location
1100 Eastern Ave NE Apt PH4
Washington, DC 20019-4036
Mailing address
30 Upper Rock Cir Apt 124
Rockville, MD 20850-4460
Phone (202) 595-4842
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": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1881300739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 UPPER ROCK CIR APT 124",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504460",
"telephone_number": "202-595-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 EASTERN AVE NE APT PH4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200194036",
"telephone_number": "202-609-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "TYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
}
],
"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 Jan 24, 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.