Active NPI
Mary Ann Washington M.D.,P.a
- Nephrology Physician
- Houston, TX
National Provider Identifier
1346612918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J0721
- Legal business name
- MARY ANN WASHINGTON M.D.,P.A
- Practice address
- 1140 Westmont Dr
Suite 320
Houston, TX 77015-4363 - Phone
- (713) 637-6320
- Fax
- (713) 637-0590
- NPI assigned
- Oct 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Camille Guillen
- Title
- Clinical Supervisor
- Phone
- (713) 637-6320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | J0721 | TX | Primary |
Addresses
Primary practice location
1140 Westmont Dr
Suite 320
Houston, TX 77015-4363
Mailing address
5116 Bissonnet St
Suite 459
Bellaire, TX 77401-4007
Phone (713) 637-6320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124363602 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5233 Bellaire Blvd
Ste B459
Bellaire, TX 77401
5116 Bissonnet St
Ste 459
Bellaire, TX 77401
2525 North Loop W
Ste 600
Houston, TX 77008
Phone (713) 637-6320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467072000000",
"number": "1346612918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 BISSONNET ST",
"address_2": "SUITE 459",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014007",
"telephone_number": "713-637-6320",
"fax_number": "713-637-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 WESTMONT DR",
"address_2": "SUITE 320",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770154363",
"telephone_number": "713-637-6320",
"fax_number": "713-637-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY ANN WASHINGTON M.D.,P.A",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-22",
"last_updated": "2016-06-28",
"status": "A",
"authorized_official_last_name": "GUILLEN",
"authorized_official_first_name": "CAMILLE",
"authorized_official_title_or_position": "CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "713-637-6320",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "J0721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124363602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.