Healthcare Provider Details
I. General information
NPI: 1437974961
Provider Name (Legal Business Name): ELEVATE HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2024
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
650 PENNSYLVANIA AVE SE STE 330-340
WASHINGTON DC
20003-4318
US
IV. Provider business mailing address
650 PENNSYLVANIA AVE SE STE 330
WASHINGTON DC
20003-4397
US
V. Phone/Fax
- Phone: 202-610-9570
- Fax:
- Phone: 202-610-9570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GILBERT
DANIEL
Title or Position: OWNER
Credential: MD
Phone: 240-230-7090