Active NPI
Richard Terry Washington Jr.
- Surgical Physician Assistant
- Antioch, TN
National Provider Identifier
1912296468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 00184
- Practice address
- 5108 Singing Hills Dr
Antioch, TN 37013-5694 - Phone
- (615) 971-6507
- Fax
- (615) 641-7588
- NPI assigned
- Apr 5, 2011
- Last updated
- Apr 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 00184 | CO | Primary |
Addresses
Primary practice location
5108 Singing Hills Dr
Antioch, TN 37013-5694
Mailing address
5108 Singing Hills Dr
Antioch, TN 37013-5694
Phone (615) 971-6507
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00184 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1912296468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 SINGING HILLS DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370135694",
"telephone_number": "615-971-6507",
"fax_number": "615-641-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 SINGING HILLS DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370135694",
"telephone_number": "615-971-6507",
"fax_number": "615-641-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "RICHARD",
"middle_name": "TERRY",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "00184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.