Healthcare Provider Details

I. General information

NPI: 1942126321
Provider Name (Legal Business Name): ZYIANE SHANII MEADS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 RESERVOIR RD NW
WASHINGTON DC
20007-2111
US

IV. Provider business mailing address

826 BERRY SAGE LN
HOUSTON TX
77022-1756
US

V. Phone/Fax

Practice location:
  • Phone: 504-206-9698
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1060992
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: