Provider Demographics
NPI:1245795889
Name:WALKER, TAMEKA LASHAUN
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:LASHAUN
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 SAVANNAH ST SE APT 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7582
Mailing Address - Country:US
Mailing Address - Phone:202-489-7064
Mailing Address - Fax:
Practice Address - Street 1:4327 4TH ST SE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3387
Practice Address - Country:US
Practice Address - Phone:434-480-5245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1185923Medicaid