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Havian Firestone

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2150 Pennsylvania Ave NW, Washington, DC 20037

PECOS Enrollment

This provider is enrolled in PECOS as HAVIAN NICHOLAS.

Based on the most recent information from CMS, provider Havian Firestone is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1508395682
Provider Type
Individual
Full Name
Firestone, Havian
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/12/2017
Last Updated
9/7/2023

Contact Information

Practice Location

2150 Pennsylvania Ave NW, Washington, DC 20037

(202) 741-2500

Unlisted Fax

Mailing Location

2150 Pennsylvania Ave NW, Washington, DC 20037-3201

(202) 741-2500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN1044877 District of Columbia

Havian Firestone

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Zhang, Lei

Myers, Ashley

Gallagher, Amanda

Rose, Martha Deborah

Shorter, Tamika Camilia

Lesnau, Alan

Sohrabi, Zari

Okoye, Nneka

Hood, Catherine Ann

Bates, Kelly W.