Active NPI
Integrity Healthcare of Wa LLC
- Family Nurse Practitioner
- University Place, WA
National Provider Identifier
1013849645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryNPI 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.