Tomika Washington, PMHNP-APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

902918 Issued in MS

Practice address

6914 Autumn Oaks Dr Ste a
Olive Branch, MS 38654-9380

Phone

(662) 408-4136

Fax

(662) 420-7940

NPI assigned

Sep 14, 2018

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

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tomikawashington@olivebranchpsychiatricservices.kareodirect.com

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.

• Olive Branch Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Olive Branch, MS
  • NPI 1306303011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1104309178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 AUTUMN OAKS DR STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549380",
            "telephone_number": "662-408-4136",
            "fax_number": "662-420-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 AUTUMN OAKS DR STE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549380",
            "telephone_number": "662-408-4136",
            "fax_number": "662-420-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TOMIKA",
        "credential": "PMHNP-APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Walton
• Richard Edward Warden II, D.C.
• Stacy L Warden, PT
• Washington Group, PLLC
• Stacy Joi Washington-Hodges, BCBA, LBA, MA
• Melissa R Wasson, PHARMD
• Stephanie Fitzgerald Watson, RRT, AE-C
• Trisha Ann Watson, PT
• Thomas Christopher Webb, PHARMD
• Synterika Shanta Welch

• Psychiatric/Mental Health Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.