Active NPI
Janice Cleveland Washburn, MD
- Specialist
- Wellesley, MA
National Provider Identifier
1134190895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 76066
- Practice address
- 386 Washington St
Wellesley, MA 02481-6213 - Phone
- (781) 235-1533
- Fax
- (781) 235-1156
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 76066 | MA | Primary |
Addresses
Primary practice location
386 Washington St
Wellesley, MA 02481-6213
Mailing address
386 Washington St
Wellesley, MA 02481-6213
Phone (781) 235-1533
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Wellesley PC | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Wellesley, MA
- NPI 1104028968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1134190895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 WASHINGTON ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024816213",
"telephone_number": "781-235-1533",
"fax_number": "781-235-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 WASHINGTON ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024816213",
"telephone_number": "781-235-1533",
"fax_number": "781-235-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHBURN",
"first_name": "JANICE",
"middle_name": "CLEVELAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "76066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.