Healthcare Provider Details

I. General information

NPI: 1912821919
Provider Name (Legal Business Name): LAYLA BEEBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 MARTIN LUTHER KING JR AVE SW
WASHINGTON DC
20032-1131
US

IV. Provider business mailing address

3737 LEGATION ST NW APT B1
WASHINGTON DC
20015-1700
US

V. Phone/Fax

Practice location:
  • Phone: 202-574-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI200002078
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: