Individual provider Active NPI

Andrea W Washington, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1033727235
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27188 Issued in TN
Practice address
5220 Park Ave Ste 202
Memphis, TN 38119-3549
Phone
(901) 305-5040
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 27188 TN Primary

Addresses

Primary practice location

5220 Park Ave Ste 202
Memphis, TN 38119-3549

Mailing address

4511 King Station Rd
Millington, TN 38053-7108
Phone (901) 283-9407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210120000602 TN Practitioner - Nurse Practitioner 2365855046 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone (901) 458-0162

Hospital & facility affiliations

  • Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
27188TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Mar 1, 2023 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Mar 1, 2023 Accepting new patients
Endo 247 LLC CurrentSince Apr 5, 2021 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince May 17, 2021 Accepting new patients
Crossroads Hospice of Tennessee CurrentSince Nov 28, 2022 Accepting new patients
Crossroads Hospice of Tennessee, LLC CurrentSince Nov 28, 2022 Accepting new patients

Locations

875 W Poplar Ave
Ste 23
Collierville, TN 38017

7735 Farmington Blvd
Memphis, TN 38138
Phone (901) 754-5124

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

5220 Park Ave
Ste 202
Memphis, TN 38119
Phone (901) 305-5040

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: andrea.washington@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1033727235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 KING STATION RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380537108",
            "telephone_number": "901-283-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 PARK AVE STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193549",
            "telephone_number": "901-305-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ANDREA",
        "middle_name": "W",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.