Individual provider Active NPI

Latonya Washington, MD

  • Internal Medicine Physician
  • West Memphis, AR
National Provider Identifier
1801010061
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48375 Issued in TN
Practice address
200 S Rhodes St Ste C
West Memphis, AR 72301-4213
Phone
(870) 394-4387
Fax
(870) 394-9751
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101243844 VA
Pediatrics Physician 208000000X 0101243844 VA
Hospitalist Physician 208M00000X 48375 TN
Internal Medicine Physician 207R00000X 48375 TN Primary

Addresses

Primary practice location

200 S Rhodes St Ste C
West Memphis, AR 72301-4213

Mailing address

200 S Rhodes St Ste C
West Memphis, AR 72301-4213
Phone (870) 394-4387

Other practice location 1

710 N Missouri St
West Memphis, AR 72301-3150
Phone (870) 400-2296

Other practice location 2

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-5741

Other identifiers 1

IdentifierTypeStateIssuer
P00685257OtherVARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000632 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3870654411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Hospitalist CurrentSince Nov 16, 2016 Accepting new patients
Virginia Hospitalists Inc Internal Medicine Past Accepting new patients
Saint Francis Hospital Inpatient Physicians LLC Internal Medicine Past Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

Interoperability endpoints

  • Direct secure messaging: lwashington29965@mlh.direct-ci.com

Organizations & group practices 3

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1801010061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S RHODES ST STE C",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014213",
            "telephone_number": "870-394-4387",
            "fax_number": "870-394-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S RHODES ST STE C",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014213",
            "telephone_number": "870-394-4387",
            "fax_number": "870-394-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Missouri St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723013150",
            "country_code": "US",
            "telephone_number": "870-400-2296",
            "fax_number": "870-400-2644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Wesley Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166426",
            "country_code": "US",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LATONYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243844",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101243844",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "48375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "48375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00685257",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.