CAROLYN EVELYN PETERSON
Home Health Aide

Address: 3016 Martin Luther Kinng Jr. Ave Se, Washington, DC 20032

CAROLYN EVELYN PETERSON (NPI# 1891383287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891383287
Entity Type Individual
Full Name CAROLYN EVELYN PETERSON
Gender Female
Credential HOME HEALTH AIDE
Practice Address 3016 Martin Luther Kinng Jr. Ave Se
Washington
DC 20032
Practice Telephone 2023730330
Mailing Address 3565 Stanton Rd Se
Washington
DC 20020-2219
Mailing Telephone 2408177259
Certification Date 2021-01-02
Enumeration Date 2021-01-01
Last Update Date 2021-01-18
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 374U00000X Home Health Aide HHA15472 DC Nursing Service Related Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
3016 Maartin Luther Kinng Jr. Ave Se, Washington, DC 20032 2023730330

Office Location

Street Address 3016 MARTIN LUTHER KINNG JR. AVE SE
City WASHINGTON
State DC
Zip Code 20032

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1306433644 Southern Ave Sp LLC · Livingston Place Assisted Living Facility 4656 Livingston Rd. Se, Washington Dc, DC 20032 2020-12-21
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1639788938 Richard Quinones Technician · Personal Care Attendant 4346 Livingston Rd Se, B, Washington, DC 20032 2020-07-23
1720603244 Ankur Sah Swarnakar Student in an Organized Health Care Education/Training Program 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 2020-06-10
1225659519 Michael Thomas Moore Counselor · Addiction (Substance Use Disorder) 920 Belview St. Se, Washington, DC 20032 2020-04-28
1144878240 Erika Kirkpatrick Behavior Technician 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 2019-08-31
1982251351 Agazit Asihel Counselor · School Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 2019-08-21
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
1376100115 Kelsey Hobart Student in an Organized Health Care Education/Training Program Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 2019-05-28
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Taxonomy Information

Taxonomy Code 374U00000X
Grouping Nursing Service Related Providers
Classification Home Health Aide

Taxonomy Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376135020 Rejalitta Delise Evans 1106 21st St Ne Apt 107, Washington, DC 20002-3154 2021-02-04
1730770645 Davon Deandre Mccray 4638 H St Se Apt 217, Washington, DC 20019-4987 2021-02-02
1841880580 Marktwann Jennings 3427 22nd St Se, Washington, DC 20020-6147 2021-01-26
1659960250 Mary Akuforgwe 5184 Eastern Ave Ne, Washington, DC 20011-2771 2021-01-18
1558959676 Lydia Ferguson I 816 Decatur St Nw, Washington, DC 20011-4512 2021-01-05
1427646553 Ricky Vonwergers 2429 Good Hope Rd Se, Washington, DC 20020-3403 2021-01-05
1265020572 Lajaun Z Scott 5614 Clay Pl Ne, Washington, DC 20019-6758 2021-01-04
1114514445 Kevin Lee Smith Sr. 2 M St Ne Apt 524, Washington, DC 20002-3985 2020-12-21
1982290185 Marguerite Subine Nnoke 4660 Martin Luther King Jr Ave Sw Apt A902, Washington, DC 20032-4971 2020-12-12
1649876384 Diamond Antoinette White 4714 B St Se, Washington, DC 20019-5132 2020-12-08
Find all providers in WASHINGTON

Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.