Healthcare Provider Details

I. General information

NPI: 1730052309
Provider Name (Legal Business Name): CHILDREN'S NATIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

2034 4TH ST NW
WASHINGTON DC
20001-2308
US

V. Phone/Fax

Practice location:
  • Phone: 202-602-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JESSE COVIELLO
Title or Position: RN II
Credential: BSN, RN
Phone: 303-877-1864