Healthcare Provider Details

I. General information

NPI: 1639052491
Provider Name (Legal Business Name): CHAKA CURTIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 NEW YORK AVE NE
WASHINGTON DC
20002-3320
US

IV. Provider business mailing address

4413 SHERIFF RD NE
WASHINGTON DC
20019-3741
US

V. Phone/Fax

Practice location:
  • Phone: 202-413-3945
  • Fax:
Mailing address:
  • Phone: 202-413-3945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP1012662
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: