Provider Demographics
NPI:1972481588
Name:MATTHEWS, DAYSHA DANIELLE
Entity type:Individual
Prefix:
First Name:DAYSHA
Middle Name:DANIELLE
Last Name:MATTHEWS
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 1:514 RIDGE RD SE APT 109
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-3079
Mailing Address - Country:US
Mailing Address - Phone:202-803-0782
Mailing Address - Fax:
Practice Address - Street 1:514 RIDGE RD SE APT 109
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3079
Practice Address - Country:US
Practice Address - Phone:202-286-6307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant