Healthcare Provider Details

I. General information

NPI: 1861933228
Provider Name (Legal Business Name): KAREN HARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 NANNIE HELEN BURROUGHS AVE NE UNIT 201
WASHINGTON DC
20019-3778
US

IV. Provider business mailing address

1710 T ST SE APT 204
WASHINGTON DC
20020-4732
US

V. Phone/Fax

Practice location:
  • Phone: 202-445-9512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: