Individual provider Active NPI

Winston King

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1073133203
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1040797 Issued in DC
Practice address
1508 E Capitol St NE
Washington, DC 20003-1507
Phone
(202) 371-9393
Fax
(202) 289-1611
NPI assigned
Apr 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1040797 DC Primary

Addresses

Primary practice location

1508 E Capitol St NE
Washington, DC 20003-1507

Mailing address

4611 Somerset LN
Ellicott City, MD 21042-7724
Phone (240) 469-0031

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
RN1040797DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Motir Services, Inc. CurrentSince Jan 24, 2021 Accepting new patients

Locations

1508 E Capitol St NE
Washington, DC 20003
Phone (202) 371-9393

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1073133203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 SOMERSET LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427724",
            "telephone_number": "240-469-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 E CAPITOL ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031507",
            "telephone_number": "202-371-9393",
            "fax_number": "202-289-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WINSTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1040797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.