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CITYWORLD FAMILY PRACTICE LLC NPI 1073089959


NPI Information

NPI: 1073089959
Provider Name: CITYWORLD FAMILY PRACTICE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 21D2157863

Address:
7603 GEORGIA AVE NW STE 101
WASHINGTON, DC
ZIP 20012
Phone: (202) 658-6844
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CITYWORLD FAMILY PRACTICE LLC is a clinic center in Washington, DC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CITYWORLD FAMILY PRACTICE LLC NPI is 1073089959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7603 GEORGIA AVE NW STE 101
WASHINGTON, DC
ZIP 20012-617
Phone: (202) 658-6844
Fax: (202) 441-2518

The provider's authorized official is Miranda Mbutambe .
The authorized official title is Owner and has the following contact phone number (202) 367-3927.

The CLIA number assigned to this NPI record is 21D2157863 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 7/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363LP2300XNurse PractitionerPrimary CareNo
4261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.