Healthcare Provider Details

I. General information

NPI: 1740537935
Provider Name (Legal Business Name): MS. DOROTHY L EDET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2012
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 ONEIDA PL NW
WASHINGTON DC
20011-2150
US

IV. Provider business mailing address

3145 SOUTHGATE DR APT 8
ALEXANDRIA VA
22306-6622
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-7226
  • Fax: 202-291-4009
Mailing address:
  • Phone: 202-291-7226
  • Fax: 202-291-4009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: