Healthcare Provider Details

I. General information

NPI: 1740422971
Provider Name (Legal Business Name): VIRGINIA ANNE BENJAMIN CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 DAHLIA ST NW APT 208
WASHINGTON DC
20012-2376
US

IV. Provider business mailing address

1100 DAHLIA ST NW APT 208
WASHINGTON DC
20012-2376
US

V. Phone/Fax

Practice location:
  • Phone: 202-981-2658
  • Fax:
Mailing address:
  • Phone: 202-981-2658
  • 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 TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberA00060267
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNA00602119
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number1401097833
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: