LIFETREE HEALTH, INC (NPI# 1851777189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851777189 |
| Entity Type | Organization |
| Organization Name | LIFETREE HEALTH, INC |
| Practice Address |
2041 Martin Luther King Jr Ave Se Ll2 Washington DC 20020-7024 |
| Practice Telephone | 2025061124 |
| Practice Fax Number | 2026102699 |
| Mailing Telephone | 2025061124 |
| Mailing Fax Number | 2026102699 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | MR. JOEY JENKINS (CEO) |
| Authorized Official Telephone | 2025061124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
2041 MARTIN LUTHER KING JR AVE SE LL2 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720058928 | Muhammad A Khalid | Podiatrist | 2041 Martin Luther King Jr Ave Se, Suite 103, Washington, DC 20020-7024 | 2006-01-23 |
| 1598379695 | Jason Deramo | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-09-04 |
| 1720609134 | Theresa Juanita Govan | Counselor | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-04-27 |
| 1821624198 | Debra Renee Harrison | Counselor | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-03-19 |
| 1760018139 | Michelle Renee Tolbert | Counselor | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-03-18 |
| 1972139384 | Janet A. Bolomope | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-03-17 |
| 1861023087 | Ebony Mack | Psychologist | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2020-01-27 |
| 1649822180 | Carole Darice Davis | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2019-07-15 |
| 1720630437 | Laura E Jeske | Dietitian, Registered | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2019-07-12 |
| 1508329897 | Arega Workneh Gera | Social Worker | 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182560 | Dervan Healthcare Services LLC | Clinic/Center | 3849 Pennsylvania Ave Se, Washington, DC 20020-1309 | 2019-09-09 |
| 1952869984 | Collin D. Cullen, M.d., LLC | Clinic/Center | 5410 Connecticut Ave Nw Ste 117, Washington, DC 20015-2831 | 2019-03-08 |
| 1356889406 | Godswill O Okoji Md Inc. | Clinic/Center | 1809 Benning Rd Ne, Washington, DC 20002-7211 | 2017-02-09 |
| 1568845832 | Sole Proprietor | Clinic/Center | 510 Locust Ave, Washington, PA 15301-3331 | 2015-07-06 |
| 1457738122 | Medical Ambassador Healthcare, LLC | Clinic/Center | 1220 L St Nw, Suite 100-275, Washington, DC 20005-4018 | 2015-05-01 |
| 1417350828 | Premium Select | Clinic/Center | 4303 F St Se, Washington, DC 20019-4253 | 2014-09-30 |
| 1316349202 | Heritage Visiting Practitioners, LLC | Clinic/Center | 150 N 1100 E Unit 49, Washington, UT 84780-2882 | 2014-09-22 |
| 1043621535 | Jacqueline Mclaughlin-edwards | Clinic/Center | 4061 Minnesota Ave Ne, Washington, DC 20019-3541 | 2014-05-19 |
| 1689907024 | Helen Lindsay Thompson | Clinic/Center | 3125 Cleveland Ave Nw, Washington, DC 20008-3534 | 2009-09-17 |
| 1831319276 | Julia Liss | Clinic/Center | 3105 14th Street Nw, Washington, DC 20010 | 2007-04-26 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
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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.