Sandra Witherspoon

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

508 Kennedy St NW Unit 2
Washington, DC 20011-3137

Phone

(202) 223-9630

NPI assigned

Jan 18, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1184485013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5387 CHILLUM PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112620",
            "telephone_number": "202-321-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 KENNEDY ST NW UNIT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113137",
            "telephone_number": "202-223-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aziza Withers
• Crystal Witherspoon
• Erika Camille Y. Witherspoon
• Lakeisha Witherspoon
• Lakisha Theresa Witherspoon, LICSW
• Within Reach, LLC
• Courtney Maria Witkay
• Kenneth R Witmer, M.D.
• Barbara Kelly Witt, LCSW-C
• Sarah Lynn Witte, AU.D.

• Peer Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Peer Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.