LEADETH STILLWATERS
NPI 1497467641
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Q: What is Leadeth Stillwaters's NPI number?

The NPI number for Leadeth Stillwaters is 1497467641. It was assigned to this organization in the NPPES registry on December 20, 2022.

Q: What is Leadeth Stillwaters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 20, 2022

712 H ST NE STE 1628, WASHINGTON, DC 20002(301) 265-5922 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Aug 6, 2024, Dec 20, 2022 (3 updates tracked since 2022).

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About Leadeth Stillwaters NPPES

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

LEADETH STILLWATERS (NPI 1497467641) is a healthcare organization registered as a psychiatric/mental health in Washington, District Of Columbia and active in the NPI registry since December 2022. The organization lists Fatima Muna Koroma, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497467641

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLEADETH STILLWATERS

Location Address712 H ST NE STE 1628Washington, DC 20002-3627

Mailing Address9461 Charleville Blvd Ste 1216Beverly Hills, CA 90212-3017 · (301) 265-5922 · Fax (475) 275-7541

Phone(301) 265-5922

Organization SubpartNo

Authorized OfficialFatima Muna KoromaCeo · (571) 277-1111

Enumeration DateDecember 20, 2022

Last NPPES UpdateJune 5, 20263 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1497467641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

712 H ST NE STE 1628, Washington, DC 20002

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Leadeth Stillwaters's NPI number?

The NPI number for Leadeth Stillwaters is 1497467641. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is Leadeth Stillwaters located?

Leadeth Stillwaters is located at 712 H St NE Ste 1628, Washington, DC 20002. The listed phone number is (301) 265-5922.

What is Leadeth Stillwaters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Leadeth Stillwaters was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.