Teresa A Washington, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP-06051 Issued in OH

Practice address

4200 Warrensville Center Rd Ste 250
Beachwood, OH 44122-7000

Phone

(216) 491-1178

Fax

(216) 491-8486

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Outreach Professional Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1104371640
  NPD (past)
• Serwah Medical Group, Inc

  • Internal Medicine Physician
  • E Cleveland, OH
  • NPI 1346366671
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1043238264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227000",
            "telephone_number": "216-491-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227000",
            "telephone_number": "216-491-1178",
            "fax_number": "216-491-8486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Forest Hills Blvd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "East Cleveland",
            "state": "OH",
            "postal_code": "441124348",
            "country_code": "US",
            "telephone_number": "216-541-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "06051",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-06051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2484020",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "7753580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Renee Warren, R.N.
• Mark J Warren, MD
• Mary Abigail Warren, M.D.
• Julie Louise Waseleski, LPCC
• Jerry Washington, PA-C
• Wanda Lynn Washington
• Kyle Christopher Wasil, APRN,FNP-C
• Marvin Wasman, PHD
• Ashley Nicole Wasosky
• Watertower Plaza Medical

• Adult Health Nurse Practitioner in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.