MISS PRISCILLA DOREEN MOMOH (NPI# 1912218819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912218819 |
| Entity Type | Individual |
| Full Name | MISS PRISCILLA DOREEN MOMOH |
| Other Name | MISS PRISCILLA DOREEN MOMOH |
| Credential | BSC |
| Practice Address |
1949 4th St Ne Washington DC 20002-1211 |
| Mailing Address |
2109 Saranac St Hyattsville MD 20783-2166 |
| Practice Telephone | 2024627500 |
| Practice Fax Number | 2024622309 |
| Mailing Telephone | 2024627500 |
| Mailing Fax Number | 2024622309 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002552 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA30224 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 037410900 | 05 |
| Street Address |
1949 4TH ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710163605 | Rap, Inc. | Clinic/Center | 1949 4th St Ne, Washington, DC 20002-1211 | 2008-01-10 |
| 1396103388 | Alana Alexis Wright | Registered Nurse | 1949 4th St Ne, Washington, DC 20002-1211 | 2016-02-04 |
| 1942668934 | Michell Denise Adewoye | Substance Abuse Rehabilitation Facility | 1949 4th St Ne, Washington, DC 20002-1211 | 2016-02-04 |
| 1215301908 | Lisa Michele Rix | Counselor | 1949 4th St Ne, Washington, DC 20002-1211 | 2015-11-19 |
| 1568710861 | Guyford Jonas | Physician Assistant | 1949 4th St Ne, Ne, Washington, DC 20002-1211 | 2012-08-17 |
| 1124268917 | Rap, Inc. | Clinic/Center | 1949 4th St Ne, Washington, DC 20002-1211 | 2009-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065619 | Lukas James Williams | Physician Assistant | 110 Irving St Nw Ste 3b-55, Washington, DC 20010-3017 | 2020-02-13 |
| 1841784691 | Amanda-gay A Edwards | Physician Assistant | 3 Washington Cir Nw Ste 305, Washington, DC 20037-2311 | 2018-06-15 |
| 1588177752 | Shelly Powers | Physician Assistant | 6th and Bryant St Nw Annex 1 #116, Washington, DC 20059-0001 | 2017-11-10 |
| 1154832046 | Sarah Elizabeth Walters-slezak | Physician Assistant | 470 Johnson Rd Ste 160, Washington, PA 15301-8968 | 2017-10-18 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1639540529 | Jennifer Quyen Tran | Physician Assistant | 332 18th Pl Ne Apt 4, Washington, DC 20002-6650 | 2015-10-17 |
| 1487023511 | Christina Russo | Physician Assistant | 2021 K St Nw Ste 512, Washington, DC 20006-1003 | 2015-09-18 |
| 1194148031 | Luminita Ellis | Physician Assistant | 3700 N Capitol St Nw # 252, Washington, DC 20011-8400 | 2014-01-29 |
| 1518235167 | Anoa Gibson-hunter | Physician Assistant | 4221 Argyle Ter Nw, Washington, DC 20011-4241 | 2011-12-11 |
| 1295014330 | Annise Claude | Physician Assistant | 2021 K St Nw Ste 210, Washington, DC 20006-1003 | 2011-08-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
Please comment or provide details below to improve the information on MISS PRISCILLA DOREEN MOMOH.
| 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.