Healthcare Provider Details

I. General information

NPI: 1508123613
Provider Name (Legal Business Name): CATHERINE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 THOMAS JEFFERSON ST NW 180G
WASHINGTON DC
20007-5201
US

IV. Provider business mailing address

1025 THOMAS JEFFERSON ST NW 180G
WASHINGTON DC
20007-5201
US

V. Phone/Fax

Practice location:
  • Phone: 202-299-1109
  • Fax:
Mailing address:
  • Phone: 202-299-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: