PROVIDENCE HEALTH SERVICES
NPI 1083878730
Nurse Practitioner in Washington, DC

Q: What is Phs Care Center's NPI number?

The NPI number for Phs Care Center is 1083878730. It was assigned to this organization in the NPPES registry on July 11, 2008. The provider is also known as Providence Health Services.

Q: What is Phs Care Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Phs Care Center was last updated on June 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2008

1150 VARNUM ST NE, SUITE 201, WASHINGTON, DC 20017(202) 854-7674(202) 269-7825 Get Directions Write a Review

NPPES record last updated: June 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2017, Apr 24, 2017 (2 updates tracked since 2017).

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About Providence Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH SERVICES (NPI 1083878730) is a healthcare organization registered as a nurse practitioner in Washington, District Of Columbia and active in the NPI registry since July 2008. The organization lists Beau Higginbotham, Vp, as its authorized official.

NPPES Registry Identity

NPI1083878730

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePHS CARE CENTER

Location Address1150 VARNUM ST NE, SUITE 201Washington, DC 20017-2104

Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825

Phone(202) 854-7674

Fax(202) 269-7825

Organization SubpartYesParent: Providence Hospital

Authorized OfficialBeau HigginbothamVp · (410) 368-3168

Enumeration DateJuly 11, 2008

Last NPPES UpdateJune 7, 20172 updates tracked since enumeration

✔ NPI 1083878730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in DC · HFD01-0212

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

1150 VARNUM ST NE, Washington, DC 20017

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Other Names 1

Other NameProvidence Health Services

Other Identifiers 2

Medicaid025501700MD

Medicaid023435100DC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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