Organization Active NPI

Washington Clinic, LLC

  • Primary Care Clinic/Center
  • Iowa City, IA
National Provider Identifier
1730991902
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WASHINGTON CLINIC, LLC
Practice address
449 Highway 1 W
Iowa City, IA 52246-4205
Phone
(319) 867-2170
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Tyeisha M Washington, NP
Title
Nurse Practitioner
Phone
(319) 867-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

449 Highway 1 W
Iowa City, IA 52246-4205

Mailing address

449 Highway 1 W
Iowa City, IA 52246-4205
Phone (319) 867-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250730000510 IA Part B Supplier - Clinic/Group Practice 5496262867 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1730991902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464205",
            "telephone_number": "319-867-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464205",
            "telephone_number": "319-867-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "M WASHINGTON",
        "authorized_official_first_name": "TYEISHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "319-867-2170",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.