Taylor Bozeman
Individual provider Active NPI Community/Behavioral Health Agency · Washington, DC
NPI 1902500267 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1902500267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 2218 Rhode Island Ave NE
Washington, DC 20018-2827 - Phone
- (202) 717-9428
- NPI assigned
- Mar 29, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2218 Rhode Island Ave NE
Washington, DC 20018-2827
Mailing address
1010 Half St SE Apt 558
Washington, DC 20003-4185
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All providers in Washington, DC · Community/Behavioral Health Agency in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.