Individual provider Active NPI

Tonya Taursette Washington

  • Case Manager/Care Coordinator
  • Ferriday, LA
National Provider Identifier
1689037277
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
615 Ee Wallace Blvd S
Ferriday, LA 71334
Phone
(318) 757-9363
Fax
(318) 757-9364
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

615 Ee Wallace Blvd S
Ferriday, LA 71334

Mailing address

14 James Brown Ave
Natchez, MS 39120-8704
Phone (601) 660-2625

Other practice location 1

1644 B Carter Street, Suite B
Vidalia, LA 71373-3143
Phone (318) 414-3065

Other identifiers 1

IdentifierTypeStateIssuer
1538236328OtherLANPI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Development Center, LLC Past Accepting new patients

Organizations & group practices 1

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1689037277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JAMES BROWN AVE",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208704",
            "telephone_number": "601-660-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 EE WALLACE BLVD S",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "71334",
            "telephone_number": "318-757-9363",
            "fax_number": "318-757-9364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 B Carter Street, Suite B",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "LA",
            "postal_code": "713733143",
            "country_code": "US",
            "telephone_number": "318-414-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TONYA",
        "middle_name": "TAURSETTE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538236328",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferriday, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.