ROBERTA WASHINGTON (NPI# 1043725567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043725567 |
| Entity Type | Individual |
| Full Name | ROBERTA WASHINGTON |
| Practice Address |
2205 Washington St Waukegan IL 60085-5060 |
| Mailing Address |
650 Pickus Ct Waukegan IL 60085-3856 |
| Practice Telephone | 8473601020 |
| Mailing Telephone | 2242008378 |
| Mailing Fax Number | 8472499045 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2205 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1598157281 | Cynthia Perez | Student in an Organized Health Care Education/Training Program | 922 Walnut St, Waukegan, IL 60085-2848 | 2015-03-04 |
| 1497380463 | Chelsey Glatz | Student in an Organized Health Care Education/Training Program | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-03-10 |
| 1528615366 | Jackie Machamer | Student in an Organized Health Care Education/Training Program | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-08-26 |
| 1245896588 | Alexis Desarae Laporta | Student in an Organized Health Care Education/Training Program | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-05-13 |
| 1689132748 | Wilhelmine Elisabeth Rowell | Student in an Organized Health Care Education/Training Program | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-03-07 |
| 1851802094 | Emily Elizabeth West | Student in an Organized Health Care Education/Training Program | 2025 Washington St, Waukegan, IL 60085-5131 | 2017-10-16 |
| 1457862658 | Thomas Rogers | Student in an Organized Health Care Education/Training Program | 2025 Washington St, Waukegan, IL 60085-5131 | 2017-10-16 |
| 1356869770 | Daisy Gonzalez | Student in an Organized Health Care Education/Training Program | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2017-09-06 |
| 1487178109 | Solomon Yacob Berhanu | Student in an Organized Health Care Education/Training Program | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2017-08-03 |
| Find all providers in WAUKEGAN | ||||
Please comment or provide details below to improve the information on ROBERTA WASHINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.