Provider Demographics
NPI:1750979779
Name:WASHINGTON, SABRINA YVETTE
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:YVETTE
Last Name:WASHINGTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3611
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77805-3611
Mailing Address - Country:US
Mailing Address - Phone:979-575-5062
Mailing Address - Fax:936-727-5007
Practice Address - Street 1:1710 STONE RIDGE DR
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-3766
Practice Address - Country:US
Practice Address - Phone:979-575-5062
Practice Address - Fax:936-727-5007
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's Aide
Yes172V00000XOther Service ProvidersCommunity Health Worker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle