Active NPI
Elizabeth Kathryn Walterhouse, PA-S
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA200001964
- Practice address
- 2041 Georgia Ave NW # 1-400
Washington, DC 20060-0002 - Phone
- (202) 865-1141
- NPI assigned
- May 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA200001964 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW # 1-400
Washington, DC 20060-0002
Mailing address
2140 L St NW Apt 914
Washington, DC 20037-1531
Phone (810) 919-9113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
Hospital & facility affiliations
- Medstar Washington Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200001964 | DC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
110 Irving St NW
#C2149
Washington, DC 20010
Phone (202) 877-3901
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
2041 Georgia Ave NW
#1400
Washington, DC 20060
Phone (202) 865-1141
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1073914396
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1831564657
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1356198741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 L ST NW APT 914",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371531",
"telephone_number": "810-919-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW # 1-400",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600002",
"telephone_number": "202-865-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERHOUSE",
"first_name": "ELIZABETH",
"middle_name": "KATHRYN",
"credential": "PA-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200001964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.