DOROTHY WASHINGTON – Psychiatric/Mental Health Nurse Practitioner, NPI 1194309005

DOROTHY WASHINGTON is a healthcare provider. based in Stratford, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 009653 (CT). The NPI Number for DOROTHY WASHINGTON is 1194309005

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DOROTHY WASHINGTON
NPI
1194309005
Phone
(203) 615-4107
Address
1400 N PETERS LN
Enumeration Date
6 May 2021
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606523325
Graduation Year
2020 (6 years ago)
PAC ID
9335549823
Group Practice PAC ID
9638414204
Professional Enrollment ID
I20210621003325
Address ID
CT060331236GL290XXBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for DOROTHY WASHINGTON

  • 1400 N PETERS LN

    STRATFORD, CT 066141059

    Phone: (203) 615-4107

    Type: Mailing

  • 181 CLIFTON ST

    NEW HAVEN, CT 065133319

    Phone: (203) 907-3550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210621003325INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638414204View full group profile
NameSpecialtyState
Clinical Social WorkerKY
Nurse PractitionerPA
Clinical Social WorkerCT
Nurse PractitionerVA
Nurse PractitionerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Nurse PractitionerCT
Nurse PractitionerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

Is DOROTHY WASHINGTON listed with a National Provider Identifier?
Yes — DOROTHY WASHINGTON has NPI 1194309005 on file in the registry.
Is there an active status for DOROTHY WASHINGTON?
For scheduling context, DOROTHY WASHINGTON is shown as active in the registry.
What area of care is associated with DOROTHY WASHINGTON?
DOROTHY WASHINGTON's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with DOROTHY WASHINGTON?
Directory geography for DOROTHY WASHINGTON centers on Stratford, Connecticut.
When was this NPI issued?
Enumeration for DOROTHY WASHINGTON is noted as May 6, 2021 where the registry provides it.

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