Healthcare Provider Details

I. General information

NPI: 1205773355
Provider Name (Legal Business Name): SHAKIRA STUBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 6TH ST SW APT 715
WASHINGTON DC
20024-2621
US

IV. Provider business mailing address

2540 SOUTHERN AVE SE APT 34
WASHINGTON DC
20020-1976
US

V. Phone/Fax

Practice location:
  • Phone: 240-962-5056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: