Healthcare Provider Details

I. General information

NPI: 1548008097
Provider Name (Legal Business Name): LASHAWN TINA THOMPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. LASHAWN TINA SMITH

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 T ST NE APT 137
WASHINGTON DC
20002-5125
US

IV. Provider business mailing address

3023 14TH ST NW APT 805
WASHINGTON DC
20009-6851
US

V. Phone/Fax

Practice location:
  • Phone: 202-705-1793
  • Fax:
Mailing address:
  • Phone: 202-967-5794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: