MEDICARE: MS. FELICIA GAY ARCHIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1699634014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELICIA GAY ARCHIE

Provider Business Mailing Address
First Line	:	1789 POWDER HORN TER
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3815
Country	:	US
Telephone Number	:	571-343-9983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2412 FRANKLIN ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-4213
Country	:	US
Telephone Number	:	202-621-9509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ MS. FELICIA GAY ARCHIE ” Practice Location

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