Kyle Omar Washington, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345661 Issued in NY

Practice address

79 Vandenburgh Ave
Troy, NY 12180-6024

Phone

(518) 271-0063

NPI assigned

Mar 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josmi Medical Solutions PCGroup PAC ID 0244500502, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwashington1334912@direct.trinity-health.org

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.

• Josmi Medical Solutions PC

  • Internal Medicine Physician
  • Mohegan Lake, NY
  • NPI 1508396805
  Medicare reassignment Care Compare group NPD
• Nys Medical Associate PLLC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104268572
  Medicare reassignment NPD
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Medicare reassignment NPD
• Timothy Turbett MD PC

  • Family Medicine Physician
  • Boone, NC
  • NPI 1750042958

  NY

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Memorial Hospital

  • General Acute Care Hospital
  • Hudson, NY
  • NPI 1528024718
  Care Compare affiliation

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1952996548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 VANDENBURGH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806024",
            "telephone_number": "518-271-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KYLE",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "79 Vandenburgh Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121806024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Walsh, RN
• Dawn M Walters, LMSW
• Tamara Warika, LPN
• Denise Warren
• Meagan Adell Wasacz, PA-C
• Robert R Washington
• Akeisha Dorcia Watkins, LPN
• Jenna Louise Watson, CNM
• Kerri Lynn Watson, LCSW
• Beth S Waugh, M.S., P.T.

• Family Nurse Practitioner in Troy, NY
• Providers in Troy, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.