Healthcare Provider Details

I. General information

NPI: 1316804123
Provider Name (Legal Business Name): ZIYAH THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 JASPER ST SE APT 318
WASHINGTON DC
20020-2066
US

IV. Provider business mailing address

1611 BENNING RD NE APT 222
WASHINGTON DC
20002-9135
US

V. Phone/Fax

Practice location:
  • Phone: 202-883-0233
  • Fax:
Mailing address:
  • Phone: 202-795-0491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: