Active NPI
Mariah Washburn
- Registered Nurse
- Goodfield, IL
National Provider Identifier
1497664932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041442790
- Practice address
- 526 E Belaire CT
Goodfield, IL 61742-9621 - Phone
- (309) 336-0127
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041442790 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
526 E Belaire CT
Goodfield, IL 61742-9621
Mailing address
526 E Belaire CT
Goodfield, IL 61742-9621
Phone (309) 336-0127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2026.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1497664932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 E BELAIRE CT",
"city": "GOODFIELD",
"state": "IL",
"postal_code": "617429621",
"telephone_number": "309-336-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 E BELAIRE CT",
"city": "GOODFIELD",
"state": "IL",
"postal_code": "617429621",
"telephone_number": "309-336-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHBURN",
"first_name": "MARIAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041442790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.