Active NPI
Tytiki Washington
- Nurse's Aide
- Bradenton, FL
National Provider Identifier
1568087914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 104852
- Practice address
- 5680 Fountain Lake Cir Apt 201
Bradenton, FL 34207-3759 - Phone
- (904) 441-9586
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 104852 | FL | Primary |
Addresses
Primary practice location
5680 Fountain Lake Cir Apt 201
Bradenton, FL 34207-3759
Mailing address
5680 Fountain Lake Cir Apt 201
Bradenton, FL 34207-3759
Phone (800) 761-0150
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104852 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1568087914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5680 FOUNTAIN LAKE CIR APT 201",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342073759",
"telephone_number": "800-761-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5680 FOUNTAIN LAKE CIR APT 201",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342073759",
"telephone_number": "904-441-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "TYTIKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "104852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.