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JUSTLINE TAH
NPI 1114463346
Registered Nurse - Psychiatric/Mental Health, Adult in Washington, DC

Active since January 11, 2017
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019(202) 388-9202(202) 388-4339 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, Jan 11, 2017 (2 updates tracked since 2017).

About Justline Tah NPPES

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

JUSTLINE TAH (NPI 1114463346) is an individual psychiatric/mental health, adult provider in Washington, District Of Columbia, licensed in District Of Columbia (500018807) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1114463346
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameJUSTLINE TAH
Location Address4017 MINNESOTA AVE NEWashington, DC 20019-3541
Mailing Address660 Streford Way, Unit 210Hyattsville, MD 20785-1234 · (301) 648-8594
Phone(202) 388-9202
Fax(202) 388-4339
Sole ProprietorYes
Enumeration DateJanuary 11, 2017
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1114463346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in DC · 500018807
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4017 MINNESOTA AVE NE, Washington, DC 20019
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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.

ALAIN ACHANDUNG
Case Manager/Care Coordinator
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
TATIANA LAURIE POUADEU DJONGOUE
Home Health Aide
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
BRUNO AYONG TAH
Community Health Worker
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
TERENCE AZINWI NIBA TANIFUM
Case Manager/Care Coordinator
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
MONIQUE ELIZABETH STRATTON
Case Manager/Care Coordinator
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
SAMSON SANUSIAGBABIAKA
Case Manager/Care Coordinator
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
MRS. TARA CATHERINE FLEMING LICSW
Social Worker (Clinical)
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202
DOMINQUE LACHEE' HOLLOWAY LGSW
Social Worker
4017 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 388-9202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justline Tah's NPI number?

The NPI number for Justline Tah is 1114463346. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Justline Tah located?

Justline Tah practices at 4017 Minnesota Ave NE, Washington, DC 20019. The listed phone number is (202) 388-9202.

What is Justline Tah's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Justline Tah was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.