Individual provider Active NPI

Miriam Patrice Washington, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1023894243
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R178079 Issued in MD
Practice address
1805 Ashburton St
Baltimore, MD 21216-3538
Phone
(443) 790-1601
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R178079 MD Primary

Addresses

Primary practice location

1805 Ashburton St
Baltimore, MD 21216-3538

Mailing address

4 Sundown CT
Baltimore, MD 21206-2250
Phone (443) 790-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814001818 MD Order and Referring Only - Nurse Practitioner 1052859659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R178079MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&O Prestige Partnership LLC CurrentSince Sep 10, 2023 Accepting new patients
Nurse Cares LLC CurrentSince Aug 10, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1023894243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SUNDOWN CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062250",
            "telephone_number": "443-790-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 ASHBURTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163538",
            "telephone_number": "443-790-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MIRIAM",
        "middle_name": "PATRICE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.