Active NPI
Latonya Washington, MD
- Internal Medicine Physician
- West Memphis, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00685257 | Other | VA | RR 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120919000632 | TN | Practitioner - Internal Medicine | 3870654411 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Hospitalist | Current | 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
- 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.
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Hospitalist, TN
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1700184090
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.