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Freddie Deangelo Washington

Physician β€’ Corning, NY

Deactivated NPI 1457064735 Deactivated in NPPES Male Practitioner
Practice location in NPPES

76 W 3rd St # 201
Corning, NY 148303008

Phone: 6072882924

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 06, 2024; the reason is not published. The records below are historical. They do not show whether Freddie Washington currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date January 02, 2023
NPI Deactivation Date April 06, 2024
NPI Active Period 2023 – 2024

Practice Location & Contact Primary Location

Practice Address

76 W 3rd St # 201

Corning, NY 148303008

Telephone 6072882924

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Corning and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated April 07, 2024

NPPES lists this NPI as deactivated as of April 07, 2024; the reason is not published.

⚠️
NPI Profile Deactivated April 06, 2024

NPPES lists this NPI as deactivated as of April 06, 2024; the reason is not published.

βœ…
NPI Profile Active January 02, 2023

NPI status registered as active in NPPES database

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Practice Location (Initial Record) January 02, 2023

Registered at 76 W 3RD ST # 201, CORNING, NY 148303008 (Tel: 6072882924)

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Business Mailing Address (Initial Record) January 02, 2023

Registered at PO BOX 399, CORNING, NY 148300399 (Tel: 6072882924)

πŸ‘€
Provider Name / Credentials (Initial Record) January 02, 2023

Recorded as FREDDIE WASHINGTON

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2023

Non-emergency Medical Transport (VAN)

🟒
Initial NPI Registration & Enumeration January 02, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457064735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2023
Last Update: January 02, 2023
Deactivation Date: April 06, 2024

Mailing Address

Po Box 399

Corning, NY 148300399

Phone: 6072882924

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.