Provider Demographics
NPI:1073495834
Name:SHEFFIELD, MYKIA KEASHAUN
Entity type:Individual
Prefix:
First Name:MYKIA
Middle Name:KEASHAUN
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MYKIA
Other - Middle Name:KEASHAUN
Other - Last Name:SHEFFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1283 BRENTWOOD RD NE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1034
Mailing Address - Country:US
Mailing Address - Phone:202-352-3951
Mailing Address - Fax:
Practice Address - Street 1:1283 BRENTWOOD RD NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1034
Practice Address - Country:US
Practice Address - Phone:202-352-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant