Individual provider Active NPI

Telisa Lyons-Washington

  • Adult Companion
  • Miami Gardens, FL
National Provider Identifier
1407340201
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
235111 Issued in FL
Practice address
1442 NW 206TH Ter
Miami Gardens, FL 33169-2475
Phone
(305) 318-3060
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 235111 FL
Adult Companion 372600000X 235111 FL Primary

Addresses

Primary practice location

1442 NW 206TH Ter
Miami Gardens, FL 33169-2475

Mailing address

1442 NW 206TH Ter
Miami Gardens, FL 33169-2475
Phone (305) 318-3060

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
235111FLMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1407340201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 NW 206TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692475",
            "telephone_number": "305-318-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 NW 206TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692475",
            "telephone_number": "305-318-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS-WASHINGTON",
        "first_name": "TELISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "235111",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "235111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.