MR. DEMETRIUS DEWYANE WASHINGTON (NPI# 1164826194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164826194 |
| Entity Type | Individual |
| Full Name | MR. DEMETRIUS DEWYANE WASHINGTON |
| Practice Address |
324 N 13th Ave 1901 Baker Street Arcadia FL 34266-8922 |
| Practice Telephone | 8632442836 |
| Mailing Telephone | 8632442836 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 101YM0800X | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508124116 | Demetrius Mcclinton Washington | Nurse Practitioner | 1155 S Summer Breeze Ln, Anaheim, CA 92808-2529 | 2012-05-02 |
| Street Address |
324 N 13TH AVE 1901 BAKER STREET |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-8922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583307 | Ciera Murphy | Counselor | 1745 Edwards St, Arcadia, LA 71001-6531 | 2019-08-14 |
| 1497253777 | Calvin Earl Wortham | Counselor | 2021 Beech St, Arcadia, LA 71001-6815 | 2018-01-31 |
| 1245753953 | Bettin D Collins | Counselor | 1921 N. Railroad Ave., Arcadia, LA 71001 | 2017-07-25 |
| 1194271643 | Sabrina Hsu | Counselor | 1400 Oak Meadow Rd, Arcadia, CA 91006-2128 | 2016-08-25 |
| 1336693316 | Edwin Edward Mason Vi | Counselor | 2240 Hickory St, Arcadia, LA 71001-6424 | 2016-08-08 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1598173163 | Natasha Chloe Robinson | Counselor | 50 W Foothill Blvd # 300, Arcadia, CA 91006-2338 | 2014-07-28 |
| 1982995619 | Joan Elaine Blake | Counselor | 911 S Henney Rd, Arcadia, OK 73007-6705 | 2011-04-28 |
| 1154561280 | Karen Renee Warren | Counselor | 1246 Se Ohio Ave, Arcadia, FL 34266-7650 | 2009-03-02 |
| 1518135169 | Beverly Diane Coon | Counselor | 821 S Westminster Rd, Arcadia, OK 73007-6913 | 2008-02-18 |
| Find all providers in ARCADIA | ||||
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| 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.