Provider Demographics
NPI:1619855780
Name:WASHINGTON, NATORI DESTINIE
Entity type:Individual
Prefix:
First Name:NATORI
Middle Name:DESTINIE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 FOLKESTONE CT S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3704
Mailing Address - Country:US
Mailing Address - Phone:805-661-3071
Mailing Address - Fax:
Practice Address - Street 1:4465 FOLKESTONE CT S
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3704
Practice Address - Country:US
Practice Address - Phone:805-661-3071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide