Individual provider Active NPI

Tameka Latoya Washington

  • Family Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1558858837
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9460253 Issued in FL
Practice address
1801 NE 123Rd St Ste 409
North Miami, FL 33181-2884
Phone
(786) 216-7803
Fax
(888) 946-3938
NPI assigned
Apr 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9460253 FL
Family Nurse Practitioner 363LF0000X 9460253 FL Primary

Addresses

Primary practice location

1801 NE 123Rd St Ste 409
North Miami, FL 33181-2884

Mailing address

1801 NE 123Rd St Ste 409
North Miami, FL 33181-2884
Phone (786) 216-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9460253FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 18, 2022 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Mar 18, 2022 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
South Broward Hospital District CurrentSince Oct 8, 2018 Accepting new patients
South Broward Hospital District CurrentSince Oct 8, 2018 Accepting new patients
Womencare PA PastSince Feb 7, 2021 Accepting new patients

Locations

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1558858837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812884",
            "telephone_number": "786-216-7803",
            "fax_number": "888-946-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812884",
            "telephone_number": "786-216-7803",
            "fax_number": "888-946-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TAMEKA",
        "middle_name": "LATOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9460253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9460253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.