| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1871858738 | BOLTER | STEPHANIE | MICHELLE | 102 IRVING ST NW | WASHINGTON | DC | 200102921 | |
| 1811260052 | JACKSON | JEANNA | PATRICE | 102 IRVING ST NW | WASHINGTON | DC | 200102921 | |
| 1972951960 | KRIEBEL | JONATHAN | WAYNE | 102 IRVING ST NW | WASHINGTON | DC | 200102921 |