Individual provider Active NPI

Kimberly R Washington, DO

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1417936378
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO.000192 Issued in LA
Practice address
3333 Drusilla LN
Baton Rouge, LA 70809-2418
Phone
(225) 924-3906
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9701129 NC
Internal Medicine Physician 207R00000X DO.000192 LA Primary

Addresses

Primary practice location

3333 Drusilla LN
Baton Rouge, LA 70809-2418

Mailing address

3333 Drusilla LN
Baton Rouge, LA 70809-2418

Other identifiers 1

IdentifierTypeStateIssuer
1811131MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, KS, GA, SC, FL, CT, OH, TX8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20091124000168 LA Practitioner - Internal Medicine 9436128311 Reassigns benefits to 8 organizations
I20201119001985 KS Practitioner - Internal Medicine 9436128311 Reassigns benefits to 1 organization
I20210127003007 GA Practitioner - Internal Medicine 9436128311
I20230206001437 SC Practitioner - Internal Medicine 9436128311
I20231023001063 FL Practitioner - Internal Medicine 9436128311 Reassigns benefits to 1 organization
I20231026001647 CT Practitioner - Internal Medicine 9436128311 Reassigns benefits to 1 organization
I20231026002771 OH Practitioner - Internal Medicine 9436128311
I20231212000645 TX Practitioner - Internal Medicine 9436128311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO.000192LAMDInternal Medicine Physician
9701129NCMDInternal Medicine Physician
706SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes After Hours LLC CurrentSince Oct 17, 2018 Accepting new patients
St. Francis Urgent Care LLC CurrentSince Mar 13, 2020 Accepting new patients
Lcuc Family Physicians Urgent Care LLC CurrentSince Mar 13, 2020 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jan 18, 2021 Accepting new patients
Trinity Health of New England Urgent Care PLLC CurrentSince Oct 16, 2023 Accepting new patients
Convenient Care LLC CurrentSince Nov 18, 2009 Accepting new patients
Hendrick Health Urgent Care CurrentSince Dec 4, 2023 Accepting new patients
Convenient Care LLC CurrentSince Nov 18, 2009 Accepting new patients
Lourdes After Hours LLC CurrentSince Oct 17, 2018 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Mar 13, 2020 Accepting new patients
Convenient Care LLC Current Accepting new patients
Holy Cross Urgent Care CurrentSince Oct 16, 2023 Accepting new patients
Lake Charles Urgent Care CurrentSince Mar 13, 2020 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Mar 13, 2020 Accepting new patients
LCMC Urgent Care LLC CurrentSince Mar 12, 2020 Accepting new patients
Total Urgent Care and Occupational Medicine CurrentSince Mar 13, 2020 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jan 18, 2021 Accepting new patients
Professional Emergency Physician Associates, LLC Past Accepting new patients
Lake Charles Primary Care and Wellness Past Accepting new patients

Locations (25 of 33)

58 Maple St
Naugatuck, CT 06770
Phone (203) 723-5636

856 Cromwell Ave
Rocky Hill, CT 06067
Phone (959) 205-0791

1312 W Main St
Waterbury, CT 06708
Phone (203) 709-4575

3481 N University Dr
Coral Springs, FL 33065
Phone (954) 229-8634

1115 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 764-6646

64 Oracal Pkwy
Bldg 1
Ellabell, GA 31308
Phone (912) 214-7920

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

13314 Highway 144
Ste C
Richmond Hill, GA 31324
Phone (912) 910-2010

3866 Belfast Keller Rd
Bldg A
Richmond Hill, GA 31324
Phone (912) 910-2720

5621 Highway 21 S
Rincon, GA 31326
Phone (912) 295-5860

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

314 Highway 3162
Cut Off, LA 70345
Phone (985) 632-1820

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

826 Harrison Ave
#A
New Orleans, LA 70124
Phone (504) 309-7108

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Interoperability endpoints

  • Direct secure messaging: kwashington2943947@direct.trinity-health.org

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1417936378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 DRUSILLA LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 DRUSILLA LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092418",
            "telephone_number": "225-924-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701129",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "DO.000192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811131",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.