Provider Demographics
NPI:1013893544
Name:BAGLEY, CHAKIRA K
Entity type:Individual
Prefix:
First Name:CHAKIRA
Middle Name:K
Last Name:BAGLEY
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 1:2 M ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3576
Mailing Address - Country:US
Mailing Address - Phone:213-846-1266
Mailing Address - Fax:202-415-3792
Practice Address - Street 1:2 M ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3576
Practice Address - Country:US
Practice Address - Phone:213-846-1266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant