Provider Demographics
NPI:1659162410
Name:MARTIN, NAKIA DESHAWN
Entity type:Individual
Prefix:MS
First Name:NAKIA
Middle Name:DESHAWN
Last Name:MARTIN
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 1:5536 E BONIWOOD TURN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4172
Mailing Address - Country:US
Mailing Address - Phone:202-297-8050
Mailing Address - Fax:202-297-8050
Practice Address - Street 1:2800 O ST SE APT 5
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3650
Practice Address - Country:US
Practice Address - Phone:202-297-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD-102736054923747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant