Healthcare Provider Details

I. General information

NPI: 1730015553
Provider Name (Legal Business Name): ANDREW THOMPSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 6TH ST SW APT 903C
WASHINGTON DC
20024-3875
US

IV. Provider business mailing address

4006 8TH ST SE
WASHINGTON DC
20032-3935
US

V. Phone/Fax

Practice location:
  • Phone: 425-765-0054
  • Fax: 425-765-0054
Mailing address:
  • Phone:
  • 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: