Healthcare Provider Details

I. General information

NPI: 1881500312
Provider Name (Legal Business Name): GINEARE K PICKETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 HALF ST SE
WASHINGTON DC
20003-3956
US

IV. Provider business mailing address

6003 SAUERWEIN WAY
UPPER MARLBORO MD
20772-4695
US

V. Phone/Fax

Practice location:
  • Phone: 240-316-8679
  • Fax:
Mailing address:
  • Phone: 240-316-8679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: