DR. CRYSTAL MONIQUE MACKIE (NPI# 1053546507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053546507 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL MONIQUE MACKIE |
| Other Name | DR. CRYSTAL MONIQUE DAVIS |
| Credential | M.D. |
| Practice Address |
1900 Massachusetts Ave Se Building 29 Washington DC 20003-2542 |
| Mailing Address |
10318 Strathmore Hall St Apt T01 Rockville MD 20852-6635 |
| Practice Telephone | 2025486500 |
| Mailing Telephone | 4049646823 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD040888 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
1900 MASSACHUSETTS AVE SE BUILDING 29 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629019757 | Janice Ketcham Williams | Nurse Practitioner | 1900 Massachusetts Ave Se, Washington, DC 20003-2542 | 2006-06-09 |
| 1801250816 | Adedoyin C Adeniji | Clinic/Center | 1900 Massachusetts Ave Se, Bldg 15, Washington, DC 20003-2542 | 2016-04-06 |
| 1558729681 | Dc Department of Health | Public Health or Welfare | 1900 Massachusetts Ave Se, Washington, DC 20003-2542 | 2016-02-03 |
| 1306235395 | Yolonda Taylor | Nurse Practitioner | 1900 Massachusetts Ave Se, Building 29, Washington, DC 20003-2542 | 2015-01-14 |
| 1548555758 | Lajoyous Saliea Tawakali | Dentist | 1900 Massachusetts Ave Se, Building 29, Washington, DC 20003-2542 | 2011-06-15 |
| 1689994659 | Bosede Adeniji | Dentist | 1900 Massachusetts Ave Se, Washington, DC 20003-2542 | 2010-06-01 |
| 1457587701 | Sarah Marium Kattakuzhy | Internal Medicine | 1900 Massachusetts Ave Se, Washington, DC 20003-2542 | 2009-06-01 |
| 1437394475 | Sub&s LLC | Home Health | 1900 Massachusetts Ave Se, Washington, DC 20003-2542 | 2008-12-04 |
| 1871757369 | Anita Renee Gardner | Social Worker | 1900 Massachusetts Ave Se, Washington, DC 20003-2542 | 2008-07-14 |
| 1477692812 | Unity Health Care, Inc | Clinic/Center | 1900 Massachusetts Ave Se, Bldg 29, Washington, DC 20003-2542 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
| Find all providers in zip 20003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
| 1912487380 | James Elwood Richardson | Family Medicine | 270 Shady Ln, Washington, PA 15301-2536 | 2018-08-15 |
| 1851829709 | Jason Snavely | Family Medicine | 95 Leonard Ave Bldg 22nd, Washington, PA 15301-3368 | 2017-05-23 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1992158364 | Ok Hee Rhee | Family Medicine | 6 Club House Dr Ste 102, Washington, NJ 07882-2213 | 2016-07-20 |
| 1154738193 | Presidential Healthcare Center | Family Medicine | 5215 Loughboro Road Nw, Suite 470, Washington, DC 20016 | 2014-07-22 |
| 1174936686 | Andrew Moss | Family Medicine | 6121 32nd St Nw, Washington, DC 20015-2459 | 2014-06-03 |
| 1417367814 | Fri Awasum | Family Medicine | 2041 Georgia Ave Nw Faclty Practice Plan Suite 3200, Washington, DC 20060-7232 | 2014-05-07 |
| 1982024378 | Robert Latham Baillieu | Family Medicine | 1400 I (eye) Street Nw, Suite 825, Washington, DC 20005 | 2014-04-24 |
| 1003233453 | Jennifer Carlton | Family Medicine | 64580 Van Dyke Rd Ste C, Washington, MI 48095-2811 | 2014-03-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.