JERICA WAGONER
NPI 1760251698
Technician - Personal Care Attendant in Washington, DC

Active since December 20, 2023
646 CHESAPEAKE ST SE, WASHINGTON, DC 20032(202) 579-3216 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerica Wagoner NPPES

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

JERICA WAGONER (NPI 1760251698) is an individual personal care attendant in Washington, District Of Columbia and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1760251698
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJERICA WAGONER
Location Address646 CHESAPEAKE ST SEWashington, DC 20032-3652
Mailing Address1611 Eckington Pl Ne Apt Ju535Washington, DC 20002-2699
Sole ProprietorNo
Enumeration DateDecember 20, 2023
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
NPI 1760251698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
646 CHESAPEAKE ST SE, Washington, DC 20032

Other Providers at the Same Location NPPES 2

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

Technician (Personal Care Attendant)
646 CHESAPEAKE ST SE
WASHINGTON, DC 20032
Technician (Personal Care Attendant)
646 CHESAPEAKE ST SE
WASHINGTON, DC 20032

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 Jerica Wagoner's NPI number?

The NPI number for Jerica Wagoner is 1760251698. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Jerica Wagoner located?

Jerica Wagoner practices at 646 Chesapeake St SE, Washington, DC 20032. The listed phone number is (202) 579-3216.

What is Jerica Wagoner's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jerica Wagoner was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.