Kevin Washington, CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

3134 Issued in GA

Practice address

3200 Gallows Road
Falls Church, VA 22042

Phone

(678) 451-3433

NPI assigned

Nov 5, 2007

Last updated

Jan 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Kevin Washington Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1073793238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 STONE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312900",
            "telephone_number": "770-427-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GALLOWS ROAD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "678-451-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "CFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "3134",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "GA",
            "license": "CERT3134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582625656",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "WASHINGTON",
            "prefix": "MR.",
            "credential": "CFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fathiya Ali Warsame, FNP
• Hodan Warsame
• Katie Stephens Wasalaski
• Washington Pharmacy, LLC
• Washington Regional Transplant Community
• Nathalie Washington
• Karen E Wastler, CRNA
• Elaine Twigg Waterman, PA-C
• Patricia Ann Watkis, MD
• Anastasia Marie Watson, M.A., LPC

• Surgical Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.