Individual ProviderSarah Elizabeth Prochaska DavisDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(202) 476-6146PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Elizabeth Prochaska Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790100386Provider TypeIndividualFull NameDavis, Sarah Elizabeth ProchaskaGenderFemaleSole ProprietorNoEnumeration Date2/19/2014Last Updated2/19/2014Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-6146FaxUnlisted FaxMailing LocationMailing Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-6146FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseD1100000568District of ColumbiaCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDX3546Maryland