Ebony Washington

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

604564948 Issued in WA

Practice address

5622 Pacific Ave SE Ste 6
Lacey, WA 98503-1271

Phone

(360) 915-7944

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ebony 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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1144972225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 PACIFIC AVE SE STE 6",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031271",
            "telephone_number": "360-915-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 PACIFIC AVE SE STE 6",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031271",
            "telephone_number": "360-915-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "WA",
            "license": "604564948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "WASHINGTON",
            "credential": "HERBALIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Washington Center for Pain Management PLLC
• Washington CVS Pharmacy LLC (CVS Pharmacy #16694)
• Washington Dental Corporation PC (Dentists of Lacey)
• Washington Dental Corporation, PC (Lacey Modern Dentistry)
• Washington Resource Sharing LLC (WRS Home Health Agency)
• Sundee Wassman-Vandiver, MA, LMHC
• Shae Christine Waters Hale, DPT, PT
• Nathan Watkins
• Michelle Watson-Cheesman
• Cheryl L. E. Watson, MD

• Health & Wellness Coach in Lacey, WA
• Providers in Lacey, WA by specialty
• Health & Wellness Coach in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.