Tiara Haynesworth
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1972390680
StatusActive
Last updated in NPPESFeb 1, 2026
Details
- NPI
- 1972390680
- Entity type
- Individual (NPI-1)
- Name
- Tiara Haynesworth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2025
- Certification date
- Feb 1, 2026
- Last updated
- Feb 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2653 Douglass Rd Se Apt 104Washington, DC 20020-6524
Phone 240-550-5475
Mailing address
2653 Douglass Rd Se Apt 104Washington, DC 20020-6524
Phone 240-550-5475
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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