Healthcare Provider Details

I. General information

NPI: 1356975742
Provider Name (Legal Business Name): KAREN SHIRELLE KOUYATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 FLORIDA AVE NE APT 218
WASHINGTON DC
20002-6964
US

IV. Provider business mailing address

6120 GEORGIA AVE NW APT 205
WASHINGTON DC
20011-5169
US

V. Phone/Fax

Practice location:
  • Phone: 202-412-4688
  • Fax:
Mailing address:
  • Phone: 202-412-4688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA14996
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: