Tenicia S Washington, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R197069 Issued in MD

Practice address

1105 N Point Blvd Ste 321
Baltimore, MD 21224-3472

Phone

(410) 517-7060

Fax

(443) 407-2942

NPI assigned

Jul 13, 2017

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kernersville Emergency Group, PLLCGroup PAC ID 3375885429, 53 clinicians

Tanglewood Park Physicians PLLCGroup PAC ID 3476895129, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kernersville Emergency Group, PLLC

  • Emergency Medicine Physician
  • Kernersville, NC
  • NPI 1750852034
  Medicare reassignment Care Compare group
• Tanglewood Park Physicians, PLLC

  • Emergency Medicine Physician
  • Clemmons, NC
  • NPI 1093286379
  Medicare reassignment Care Compare group
• Holistic Health and Wellness LLC

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1396355129
  Medicare reassignment NPD
• Millennium Residential Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Towson, MD
  • NPI 1558833368
  NPD Authorized official
• Millennium Residential Inc.

  dba Millennium

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1902666845
  NPD Authorized official
• The Millennium Assisted Living

  • Assisted Living Facility
  • Baltimore, MD
  • NPI 1003579400
  NPD Authorized official
• Brunswick Physician Partners, PLLC

  • Emergency Medicine Physician
  • Bolivia, NC
  • NPI 1457822264
  Medicare reassignment
• Piedmont Triad Physicians, PLLC

  • Emergency Medicine Physician
  • Thomasville, NC
  • NPI 1295206464
  Medicare reassignment

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1639691447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD STE 321",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243472",
            "telephone_number": "410-517-7060",
            "fax_number": "443-407-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD STE 321",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243472",
            "telephone_number": "410-517-7060",
            "fax_number": "443-407-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TENICIA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197069",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R197069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myonna Terrelle Washington
• Quincy Washington, BSN, RN, FNP-STUDENT
• Rhiaani Washington
• Sheila K. Washington
• Sydney Victoria Washington
• Tiffany Washington, PH.D.
• Tiffany Nichole Washington
• William Washington
• Huma Haider Wasi, M.D.,
• Christy Lynn Wasilenko, LCSW-C, LICSW

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.