Codie Washburn, A.T.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1550 Issued in AL

Practice address

Uwa Station #14
Livingston, AL 35470

Phone

(205) 652-3489

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Codie Hilton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1033581327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UWA STATION #14",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "35470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UWA STATION #14",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "35470",
            "telephone_number": "205-652-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "CODIE",
        "name_prefix": "Mrs.",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "1550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "1550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION NUMBER",
            "identifier": "2000012354",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODIE",
            "last_name": "HILTON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Drug Store Co Inc. (The Drug Store)
• Shelby Catherine Thompson
• Town of Livingston (City Of Livingston Ambulance Serv)
• Tasharra M Townsell
• University of West Alabama
• Andrea Wilson
• Caleb Jabari Witherspoon, MAT STUDENT
• York Drug, Inc.

• Specialist in Livingston, AL
• Providers in Livingston, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.