COLLETTE ROCHELLE HARRIS (NPI# 1639564164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639564164 |
| Entity Type | Individual |
| Full Name | COLLETTE ROCHELLE HARRIS |
| Credential | MD |
| Practice Address |
425 2nd St Nw Washington DC 20001-2003 |
| Practice Telephone | 2025080500 |
| Mailing Telephone | 2025080500 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD047731 | DC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD60748512 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | DC DOH | MD047731 | 01 |
| WA | DEA | FH6274334 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 19th Ave E, Seattle, WA 981124007 | 2062991600 | 2062991608 |
| 550 16th Ave Ste 100, Seattle, WA 981225636 | 2062991900 |
| Street Address |
425 2ND ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20001-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245218650 | Catherine Page Crosland | Internal Medicine | 425 2nd St Nw, Unity Health Care, Inc, Washington, DC 20001-2003 | 2006-01-05 |
| 1134757115 | Deanna Miller | Counselor | 425 2nd St Nw, Washington, DC 20001-2003 | 2020-03-27 |
| 1386024776 | Datrell Ward | Psychiatry & Neurology | 425 2nd St Nw, Washington, DC 20001-2003 | 2015-06-01 |
| 1427228105 | Clean and Sober Streets | Clinic/Center | 425 2nd St Nw, 2 North, Washington, DC 20001-2003 | 2008-03-10 |
| 1447445184 | Unity Health Care, Inc | Clinic/Center | 425 2nd St Nw, Suite-mobile Unit, Washington, DC 20001-2003 | 2007-09-06 |
| 1770773574 | Unity Health Care, Inc | Clinic/Center | 425 2nd St Nw, Suite Open Door, Washington, DC 20001-2003 | 2007-07-27 |
| 1235349382 | James Aloysius Ronan Jr. | Internal Medicine | 425 2nd St Nw, Washington, DC 20001-2003 | 2007-05-23 |
| 1548383557 | Neal L Presant | Family Medicine | 425 2nd St Nw, Washington, DC 20001-2003 | 2007-04-06 |
| 1356462899 | Ilian Bandaranayake | Psychiatry & Neurology | 425 2nd St Nw, Unity Health Care Ccnv, Washington, DC 20001-2003 | 2007-04-03 |
| 1114066297 | Unity Health Care, Inc | Clinic/Center | 425 2nd St Nw, Washington, DC 20001-2003 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762673 | Muslimah Annjinnah Shaffi | Home Health Aide | Perry Health System, 128 M Street N.w., Washington Dc, DC 20001 | 2020-05-21 |
| 1275197378 | Marica Donisha Robinette | Home Health | 471 G Place, Nw, #32, Washington, DC 20001 | 2019-04-24 |
| 1689147571 | Maria R Barrera | Counselor | 440 L St Nw, Unit 610, Washington, DC 20001 | 2019-01-03 |
| 1083185086 | Corneesha Donielle Banks | Technician | 307 Kst Nw, #309, Washington, DC 20001 | 2018-12-17 |
| 1548730138 | Briana Shayron Smith | Technician | 150 Q St Ne 1427, Washington, DC 20001 | 2018-11-27 |
| 1235609876 | Edward Bruce Lawson | Technician | 3400 Banneker Dr 425, Northeast, DC 20001 | 2018-11-27 |
| 1740760750 | Minchu Chen | Acupuncturist | 1410, 9th Street Nw #1, First Floor, Washington, DC 20001 | 2018-08-19 |
| 1821574005 | Kimberly Ann Bell | Home Health Aide | 27 O St Nw #4, Washington, DC 20001 | 2018-07-11 |
| 1558859926 | Joan Avis Williams | Home Health Aide | Unique Resident Care Center, 901 First Street Nw, Washington, DE 20001 | 2018-05-01 |
| 1497274088 | Gabriela Andrea Jatene | Speech-Language Pathologist | 450 K Street Nw, Apt 306, Washington, DC 20001 | 2017-09-14 |
| Find all providers in zip 20001 | ||||
| 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 | 20001 |
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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.