Healthcare Provider Details

I. General information

NPI: 1578257382
Provider Name (Legal Business Name): TACCARA STROTHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TACCARA BRIGGS

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7024
US

IV. Provider business mailing address

2018 BALTIMORE RD APT J43
ROCKVILLE MD
20851-1224
US

V. Phone/Fax

Practice location:
  • Phone: 202-717-9428
  • Fax:
Mailing address:
  • Phone: 202-288-1098
  • 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 Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: