DR. WANDA RENEE MINNIS-DYSON (NPI# 1093837460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093837460 |
| Entity Type | Individual |
| Full Name | DR. WANDA RENEE MINNIS-DYSON |
| Credential | M.D. |
| Practice Address |
650 Pennsylvania Ave Se Suite 250 Washington DC 20003-4318 |
| Practice Telephone | 2025754660 |
| Practice Fax Number | 2025477900 |
| Mailing Telephone | 2025754660 |
| Mailing Fax Number | 2025477900 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD19253 | DC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 0491820 | 05 |
| Street Address |
650 PENNSYLVANIA AVE SE SUITE 250 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275594970 | Salim I Butrus | Ophthalmology | 650 Pennsylvania Ave Se, Suite 270, Washington, DC 20003-4318 | 2006-03-31 |
| 1942869920 | Chloe Ambrose | Social Worker | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-12 |
| 1871152033 | Lauren Fadem | Counselor | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-11 |
| 1336708593 | Lamar Smith | Social Worker | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2019-06-11 |
| 1417459835 | Kathleen Gem Shaw | Clinical Neuropsychologist | 650 Pennsylvania Ave Se, Washington, DC 20003-4318 | 2018-03-01 |
| 1336691450 | Capitol Hill Pediatric Dentistry | Dentist | 650 Pennsylvania Ave Se, 220, Washington, DC 20003-4318 | 2016-10-25 |
| 1114308384 | Paradigm Integrative Health, LLC | Psychiatry & Neurology | 650 Pennsylvania Ave Se, Suite 470, Washington, DC 20003-4318 | 2015-06-14 |
| 1013330570 | Sarah Marie Creveling | Counselor | 650 Pennsylvania Ave Se, Lr, Washington, DC 20003-4318 | 2014-02-03 |
| 1144560509 | Irene Mendoza | Counselor | 650 Pennsylvania Ave Se, Suite 240, Washington, DC 20003-4318 | 2013-02-22 |
| 1609141548 | Tsega Gsilassie | Physician Assistant | 650 Pennsylvania Ave Se, Ste 220, Washington, DC 20003-4318 | 2012-03-10 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859334 | Providence Health Services, Inc | Specialist | 1150 Varnum St Ne Ste 300, Washington, DC 20017-2180 | 2018-01-12 |
| 1144761016 | Elisabeth Payne | Specialist | 1334 Rittenhouse St Nw, Washington, DC 20011-1106 | 2017-03-13 |
| 1821532649 | Dr. Richard Smilie, Veterinarian | Specialist | 1622 32nd St Nw, Washington, DC 20007-2930 | 2016-12-13 |
| 1871947812 | Olusola Zaccheus | Specialist | 269 56th St Ne, Washington, DC 20019-6744 | 2016-04-15 |
| 1215390331 | Jessica Lynn Fornieri | Specialist | 3700 O St Nw, Washington, DC 20057-0002 | 2016-04-05 |
| 1497115083 | Kathleen Pyne | Specialist | 1728 Willard St Nw, Washington, DC 20009-1719 | 2016-02-25 |
| 1932568276 | Trusted Urology Inc | Specialist | 1140 Varnum St Ne Ste 208a, Washington, DC 20017-2153 | 2016-02-15 |
| 1841663135 | Leonard Mcpherson | Specialist | 4705 Asbury Pl. N.w., Washington, DC 20016 | 2015-11-09 |
| 1396118782 | Dante Settles | Specialist | 3564 Fort Lincoln Dr Ne, Washington, DC 20018-4312 | 2015-11-05 |
| 1487023479 | Maria Jevon Fortune | Specialist | 5057 Astor Pl Se Apt 203, Washington, DC 20019-7683 | 2015-09-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
Please comment or provide details below to improve the information on DR. WANDA RENEE MINNIS-DYSON.
| 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.