Shannon Washington

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

23059 Coolidge Hwy
Oak Park, MI 48237-2071

Phone

(586) 453-9134

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Untangled Medical Wigs

  • Prosthetic/Orthotic Supplier
  • Oak Park, MI
  • NPI 1487333274
  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1063197465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23059 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372071",
            "telephone_number": "586-453-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23059 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372071",
            "telephone_number": "586-453-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@untangledhairco.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23059 Coolidge Hwy",
            "city": "Oak Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482372071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elisheva Walz, LLMSW
• Ericka Ward, AGACNP-BC
• Nathaniel Warshay, L.B.S.W
• Taquelia Washington Toland, LCSW 24745
• Elizabeth Washington
• Waydan Consulting Services
• Wealth & Wellness Care and and Staffing Services
• Katlyn Weingarden
• Wellness Care Center LLC
• Akilia Wells-Jackson, R.N.

• Prosthetic/Orthotic Supplier in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.