Shawntae Marie Washington, DENTAL ASST.

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

38633 10TH Street East
226
Palmdale, CA 93550

Phone

(661) 450-7016

NPI assigned

Sep 30, 2013

Last updated

Oct 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1760819197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38633 10TH ST E APT 226",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935503827",
            "telephone_number": "661-450-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38633 10TH STREET EAST",
            "address_2": "226",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93550",
            "telephone_number": "661-450-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SHAWNTAE",
        "middle_name": "MARIE",
        "credential": "DENTAL ASST.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Warren
• Annette Monique Washington, MS, RDN, LDN
• Anthony Washington
• Felicia Washington
• Kanesia Washington
• Theresa Lynn Washington I
• Elizabeth Wasil
• Luqman Yusef Watkins
• Octavia Antoinette Watkins, PH.D
• Jackie Watt

• Dental Assistant in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.