Provider Demographics
NPI:1033089677
Name:WINSLOW, TAMMY RENE
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:RENE
Last Name:WINSLOW
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 1:4141 SOUTHERN AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-6889
Mailing Address - Country:US
Mailing Address - Phone:202-704-7588
Mailing Address - Fax:
Practice Address - Street 1:3701 CONNECTICUT AVE NW STE 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4500
Practice Address - Country:US
Practice Address - Phone:202-231-7681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHE314133NN1002X, 174200000X, 174H00000X, 2085B0100X, 3747P1801X, 171400000X
HE314173C00000X
DC253254247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No173C00000XOther Service ProvidersReflexologist
No174200000XOther Service ProvidersMeals
No174H00000XOther Service ProvidersHealth Educator
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant