Active NPI
Eugenia Priddy, M.D.
- Psychiatry Physician
- Washington, DC
National Provider Identifier
1982746384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD32819
- Practice address
- 1221 Taylor St NW
Washington, DC 20011-5617 - Phone
- (202) 464-9200
- Fax
- (202) 464-5740
- NPI assigned
- Feb 13, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD32819 | DC | Primary |
Addresses
Primary practice location
1221 Taylor St NW
Washington, DC 20011-5617
Mailing address
1221 Taylor St NW
Washington, DC 20011-5617
Phone (202) 464-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5231 | Other | DC | HEALTHRIGHT(MEDICAID MCO) |
| 23655 | Other | DC | CHARTERED(MEDICIAD MCO) |
| 296133 | Other | DC | AMERIGROUP (DC MEDICAID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982746384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 TAYLOR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115617",
"telephone_number": "202-464-9200",
"fax_number": "202-464-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 TAYLOR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115617",
"telephone_number": "202-464-9200",
"fax_number": "202-464-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDDY",
"first_name": "EUGENIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD32819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHRIGHT(MEDICAID MCO)",
"identifier": "5231",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARTERED(MEDICIAD MCO)",
"identifier": "23655",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP (DC MEDICAID",
"identifier": "296133",
"state": "DC"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.