Provider Demographics
NPI:1164219283
Name:WASHINGTON, NAKITA (CNA, MA)
Entity type:Individual
Prefix:MISS
First Name:NAKITA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:CNA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 CROSS KEYS RD APT 302
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2279
Mailing Address - Country:US
Mailing Address - Phone:859-340-9268
Mailing Address - Fax:
Practice Address - Street 1:1056 CROSS KEYS RD APT 302
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2279
Practice Address - Country:US
Practice Address - Phone:859-618-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health