Healthcare Provider Details

I. General information

NPI: 1821927633
Provider Name (Legal Business Name): CALYANNA LORRAINE ROBERTSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 WASHINGTON PL NE APT 431
WASHINGTON DC
20018-1061
US

IV. Provider business mailing address

1437 MONTANA AVE NE APT 5
WASHINGTON DC
20018-3431
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-8704
  • 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 State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: