Nurse Practitioner
PHS CARE CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1083878730 · enumerated 2008-07-11 · record updated 2017-06-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: BEAU HIGGINBOTHAM, VP · (410) 368-3168
Other names: PROVIDENCE HEALTH SERVICES
Addresses and phones
- Practice location 1150 VARNUM ST NE, SUITE 201, WASHINGTON, DC, 20017-2104 (202) 854-7674 Fax (202) 269-7825 Google Maps Apple Maps OpenStreetMap
- Mailing address 1160 VARNUM ST NE, ST CATHERINE'S HALL, ROOM 102, WASHINGTON, DC, 20017-2107 (202) 854-4069 Fax (202) 854-7825 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Nurse Practitioner 363L00000X · Primary · License HFD01-0212 DC
In this directory
Locations and evidence
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Practice location
WASHINGTON, DC, 200172104
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.