Individual provider Active NPI

Wanda Lateyce Thurston Gnahoui, MD

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
National Provider Identifier
1740459163
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD32416 Issued in DC
Practice address
821 Howard Rd SE
Washington, DC 20020-5805
Phone
(202) 698-2330
Fax
(202) 698-2466
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD32416 DC Primary

Addresses

Primary practice location

821 Howard Rd SE
Washington, DC 20020-5805

Mailing address

821 Howard Rd SE
Washington, DC 20020-5805
Phone (202) 698-2330

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32416DCMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1740459163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 HOWARD RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205805",
            "telephone_number": "202-698-2330",
            "fax_number": "202-698-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HOWARD RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205805",
            "telephone_number": "202-698-2330",
            "fax_number": "202-698-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON GNAHOUI",
        "first_name": "WANDA",
        "middle_name": "LATEYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "MD32416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.