Individual provider Active NPI

Lakeisha Washington, MEDICAL NAIL TECH

  • Specialist
  • Chatsworth, CA
National Provider Identifier
1063963593
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M325469 Issued in CA
Practice address
10055 Topanga Canyon Blvd Unit 9
Chatsworth, CA 91311-3670
Phone
(424) 207-0558
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M325469 CA Primary

Addresses

Primary practice location

10055 Topanga Canyon Blvd Unit 9
Chatsworth, CA 91311-3670

Mailing address

10055 Topanga Canyon Blvd Unit 9
Chatsworth, CA 91311-3670
Phone (424) 207-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M325469CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1063963593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 TOPANGA CANYON BLVD UNIT 9",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113670",
            "telephone_number": "424-207-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 TOPANGA CANYON BLVD UNIT 9",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113670",
            "telephone_number": "424-207-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LAKEISHA",
        "credential": "MEDICAL NAIL TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "M325469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.