Organization Active NPI

Integrity Healthcare of Wa LLC

  • Family Nurse Practitioner
  • University Place, WA
National Provider Identifier
1013849645
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTEGRITY HEALTHCARE OF WA LLC
Practice address
4230 Bridgeport Way W Ste a
University Place, WA 98466-4348
Phone
(253) 212-0272
Fax
(253) 254-7043
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Peris N Katumu
Title
Owner
Phone
(314) 583-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4230 Bridgeport Way W Ste a
University Place, WA 98466-4348

Mailing address

4230 Bridgeport Way W Ste a
University Place, WA 98466-4348
Phone (253) 212-0272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1013849645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 BRIDGEPORT WAY W STE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664348",
            "telephone_number": "253-212-0272",
            "fax_number": "253-254-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 BRIDGEPORT WAY W STE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664348",
            "telephone_number": "253-212-0272",
            "fax_number": "253-254-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEALTHCARE OF WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "KATUMU",
        "authorized_official_first_name": "PERIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-583-5904"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.