Provider Demographics
NPI:1073948568
Name:BUTLER, TAMIKA LAKITA (HHA)
Entity Type:Individual
Prefix:MS
First Name:TAMIKA
Middle Name:LAKITA
Last Name:BUTLER
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 15TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-5567
Mailing Address - Country:US
Mailing Address - Phone:202-459-3638
Mailing Address - Fax:
Practice Address - Street 1:443 15TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-5567
Practice Address - Country:US
Practice Address - Phone:202-459-3638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide