Active NPI
Lauren Washington, BT
- Specialist
- Fairfax, VA
National Provider Identifier
1669845236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A66050809
- Practice address
- 11240 Waples Mill Rd Ste 301
Fairfax, VA 22030-6078 - Phone
- (703) 237-2219
- NPI assigned
- Nov 4, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A66050809 | VA | Primary |
Addresses
Primary practice location
11240 Waples Mill Rd Ste 301
Fairfax, VA 22030-6078
Mailing address
107 Smallwood Way
Falls Church, VA 22046-3548
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
- Credentials
- Bachelor of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66050809 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1669845236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SMALLWOOD WAY",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 WAPLES MILL RD STE 301",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306078",
"telephone_number": "703-237-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "LAUREN",
"credential": "BT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "A66050809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Washington Radiology Associates, PLLC
- Washington Radiology Associates, PLLC
- Washington Speech-Language Pathology Group PLLC
- Washington Vascular Specialists of Fairfax
- Cherelle Monea' Washington, MSW, LCSW
- Washinton Neuropsychology Research Group, LLC
- Abdirisak Wasuge
- Julia Housley Waterman, M.ED., CCC-SLP
- Rebecca Suzanne Marie Waters, PNP-PC
- Katherine L Watkins, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.