Healthcare Provider Details

I. General information

NPI: 1144124405
Provider Name (Legal Business Name): YVONNE DOUGHTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 22ND ST SE
WASHINGTON DC
20020-5301
US

IV. Provider business mailing address

305 37TH ST SE
WASHINGTON DC
20019-3138
US

V. Phone/Fax

Practice location:
  • Phone: 240-470-0446
  • Fax:
Mailing address:
  • Phone: 240-470-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: