Healthcare Provider Details

I. General information

NPI: 1689598385
Provider Name (Legal Business Name): KEYONEE TALAYSHA PRINGLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 BENNING RD NE APT 207
WASHINGTON DC
20019-3471
US

IV. Provider business mailing address

1886 SAVANNAH PL SE
WASHINGTON DC
20020-2104
US

V. Phone/Fax

Practice location:
  • Phone: 202-276-9050
  • Fax:
Mailing address:
  • Phone: 202-255-5116
  • 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: