MEDICARE: MATTISA RENEE GRICE POLLARD

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	374U00000X	Home Health Aide		DC

General Provider Information

NPI Number	:	1770190829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTISA RENEE GRICE POLLARD

Provider Business Mailing Address
First Line	:	4213 4TH ST SE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-3323
Country	:	US
Telephone Number	:	202-629-6406
Fax Number	:

Provider Business Practice Location Address
First Line	:	4213 4TH ST SE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-3323
Country	:	US
Telephone Number	:	202-629-6406
Fax Number	:

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

Provider Enumeration Date	:	09/23/2020
Last Update Date	:	09/23/2020

Similar Medicare Providers

1215113097 — HOLY COMFORTER-ST. CYPRIAN COMMUNITY ACTION GROUP
Practice Location Address:

3323 13TH ST SE
WASHINGTON, DC
20032-4533

Practice Phone: 202-373-0650
Practice Fax: 202-373-0655

1902214299 — TANYA BROWN OT/L
Practice Location Address:

3323 7TH ST SE
WASHINGTON, DC
20032-4212

Practice Phone: 301-801-1534
Practice Fax:

1750778965 — KAREN YOUNG
Practice Location Address:

3323 7TH ST SE
WASHINGTON, DC
20032-4212

Practice Phone: 202-384-9921
Practice Fax:

1710419296 — LACRECIA SHANAI JOHNSON
Practice Location Address:

3323 10TH PLACE SE #T4
WASHINGTON, D.C., DC
20032-5957

Practice Phone: 202-509-4670
Practice Fax:

1124641121 — NETA VAUGHT
Practice Location Address:

3323 13TH ST SE # 4
WASHINGTON, DC
20032-4533

Practice Phone: 202-704-7825
Practice Fax:

1588324404 — RODERICK VAUGHT
Practice Location Address:

3323 13TH ST SE APT 4
WASHINGTON, DC
20032-4533

Practice Phone: 202-465-2845
Practice Fax:

Directions to “ MATTISA RENEE GRICE POLLARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.