Quincy Washington, CPT, CSNC,WLS, CWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

1231038542

Practice address

208 Golden Eagle Way
Belcamp, MD 21017-1536

Phone

(443) 866-3223

NPI assigned

Apr 26, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quincy Washington Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1023864485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GOLDEN EAGLE WAY",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171536",
            "telephone_number": "443-866-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GOLDEN EAGLE WAY",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171536",
            "telephone_number": "443-866-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "QUINCY",
        "credential": "CPT, CSNC,WLS, CWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": "1231038542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "W24985061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUINCY",
            "last_name": "WASHINGTON",
            "credential": "YES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Health & Wellness Coach in Belcamp, MD
• Providers in Belcamp, MD by specialty
• Health & Wellness Coach in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.