Basic Information
Provider Information
NPI: 1780027573
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHEINGOLD
FirstName: JESSICA
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ARTEGLIER
OtherFirstName: JESSICA
OtherMiddleName: LYNN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3800 RESERVOIR RD NW
Address2: DEPT OF MEDICINE
City: WASHINGTON
State: DC
PostalCode: 200072113
CountryCode: US
TelephoneNumber: 2024448168
FaxNumber: 8773031460
Practice Location
Address1: 3800 RESERVOIR RD NW
Address2: DEPT OF MEDICINE
City: WASHINGTON
State: DC
PostalCode: 20007
CountryCode: US
TelephoneNumber: 2024448168
FaxNumber: 8773031460
Other Information
ProviderEnumerationDate: 04/10/2013
LastUpdateDate: 04/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD035221DCN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RR0500XMD044238DCY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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