Individual provider Active NPI

Kia Danielle Washington, WHNP

  • Women's Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1922468305
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2015044320 Issued in MO
Practice address
440 E Tampa St
Springfield, MO 65806-1131
Phone
(417) 831-0150
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2015044320 MO Primary

Addresses

Primary practice location

440 E Tampa St
Springfield, MO 65806-1131

Mailing address

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419001239 MO Practitioner - Nurse Practitioner 7315245719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carestl HealthGroup PAC ID 1557269289, 14 clinicians

Practice addresses (Care Compare)

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015044320MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carestl Health CurrentSince Jan 6, 2019 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Mar 1, 2016 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Mar 1, 2016 Accepting new patients
Carestl Health CurrentSince Jan 6, 2019 Accepting new patients
Carestl Health Current Accepting new patients

Locations

9303 Midland Blvd
Overland, MO 63114
Phone 31436758206119

3312 Ashby Rd
Saint Ann, MO 63074
Phone (314) 493-6200

5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221

7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070

4500 Pope Ave
Saint Louis, MO 63115
Phone (314) 385-3990

5541 Riverview Blvd
Saint Louis, MO 63120
Phone (314) 389-4566

11300 Dunn Rd
Saint Louis, MO 63138
Phone (505) 999-9290

2901 N Grand Blvd
Saint Louis, MO 63107

2425 Whittier St
Saint Louis, MO 63113
Phone (314) 371-3100

1218 Shepley Dr
Saint Louis, MO 63137
Phone (314) 367-8520

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Interoperability endpoints

  • Direct secure messaging: kia.washington.p1@direct.jordanvalley.nextgenshare.com
  • Direct secure messaging: kia.washington@cstl.eclinicaldirectplus.com

Organizations & group practices 5

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1922468305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 DR MARTIN LUTHER KING DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631124265",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-831-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KIA",
        "middle_name": "DANIELLE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2015044320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.