Individual provider Active NPI

Jane Nwankwookoye, ARNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
National Provider Identifier
1013574243
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP.AP.60964165-NP Issued in WA
Practice address
221 Wells Ave S
Renton, WA 98057-2161
Phone
(253) 833-7444
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP.AP.60964165-NP WA Primary
Registered Nurse 163W00000X RN.RN.60653249 WA

Addresses

Primary practice location

221 Wells Ave S
Renton, WA 98057-2161

Mailing address

2101 E Yesler Way Ste 150
Seattle, WA 98122-5959

Other identifiers 1

IdentifierTypeStateIssuer
2136500MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904002905 WA Practitioner - Nurse Practitioner 7012246879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Cities Counseling and ConsultationGroup PAC ID 6406842053, 53 clinicians

Practice addresses (Care Compare)

2704 I St NE
Auburn, WA 98002-2411
Phone (253) 833-7444

325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60964165WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince Mar 12, 2025 Accepting new patients
Valley Cities Counseling and Consultation CurrentSince Jun 24, 2019 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

325 W Gowe St
Kent, WA 98032

720 N 10th St
#A399
Renton, WA 98057

221 Wells Ave S
Renton, WA 98057
Phone (206) 794-8109

340 Morris Ave S
Renton, WA 98057
Phone (206) 290-7385

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1013574243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY STE 150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WELLS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572161",
            "telephone_number": "253-833-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWOOKOYE",
        "first_name": "JANE",
        "credential": "ARNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP.AP.60964165-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN.RN.60653249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136500",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.