Individual provider Active NPI

Delois Ann Washington, D.P.M

  • Podiatrist
  • Saint Louis, MO
National Provider Identifier
1073879052
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2016040343 Issued in MO
Practice address
2600 Redman Rd
Saint Louis, MO 63136-5863
Phone
(314) 900-0572
NPI assigned
Apr 4, 2012
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2016040343 MO Primary

Addresses

Primary practice location

2600 Redman Rd
Saint Louis, MO 63136-5863

Mailing address

2280 Martin Dr
Florissant, MO 63033-2045
Phone (720) 338-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016040343MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Foot Forward Corp CurrentSince Jan 8, 2024 Accepting new patients
Best Foot Forward Corp Podiatrist CurrentSince Jan 8, 2024 Accepting new patients
Podiatry Company LLC Podiatrist CurrentSince Mar 1, 2021 Accepting new patients

Locations

1479 US Highway 61
Ste B
Crystal Cty, MO 63028
Phone (636) 224-8297

301 Mill Rd
Ste U7
Hewlett, NY 11557

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1073879052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 MARTIN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630332045",
            "telephone_number": "720-338-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDMAN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365863",
            "telephone_number": "314-900-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "DELOIS",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-11-17",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2016040343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.