Provider Demographics
NPI:1134996416
Name:WHITMYER, BAKESIA JAVONY
Entity type:Individual
Prefix:
First Name:BAKESIA
Middle Name:JAVONY
Last Name:WHITMYER
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 1:150 Q ST NE APT 1107
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2376
Mailing Address - Country:US
Mailing Address - Phone:202-492-7945
Mailing Address - Fax:
Practice Address - Street 1:151 Q ST NE APT 3209
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2174
Practice Address - Country:US
Practice Address - Phone:202-702-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide