Healthcare Provider Details

I. General information

NPI: 1861202186
Provider Name (Legal Business Name): SHERESE LASHAWN SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 CONNECTICUT AVE NW APT 409
WASHINGTON DC
20015-1858
US

IV. Provider business mailing address

1106 COLUMBIA RD NW APT 202
WASHINGTON DC
20009-5352
US

V. Phone/Fax

Practice location:
  • Phone: 202-847-7307
  • Fax:
Mailing address:
  • Phone: 202-847-7307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: