Healthcare Provider Details

I. General information

NPI: 1598573370
Provider Name (Legal Business Name): ZANTISHA J WINSTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/25/2024
Last Update Date: 12/25/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 UNIVERSITY BLVD W APT 1019
SILVER SPRING MD
20902-3321
US

IV. Provider business mailing address

1121 UNIVERSITY BLVD W APT 1019
SILVER SPRING MD
20902-3321
US

V. Phone/Fax

Practice location:
  • Phone: 202-487-1649
  • Fax:
Mailing address:
  • Phone: 202-487-1649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN200002845
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-315274
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR249973
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: