Healthcare Provider Details

I. General information

NPI: 1942113303
Provider Name (Legal Business Name): MS. TRANYCE KIERRA ST. JOHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HOWARD RD SE APT 1266
WASHINGTON DC
20020-6054
US

IV. Provider business mailing address

2801 PARK CENTER DR APT A1701
ALEXANDRIA VA
22302-1425
US

V. Phone/Fax

Practice location:
  • Phone: 877-659-4500
  • Fax:
Mailing address:
  • Phone: 877-659-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: