Ebrima S Fatajo, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60869727 Issued in WA

Practice address

4515 Martin Luther King Jr Way S Ste 100
Seattle, WA 98108-2183

Phone

(425) 773-1881

NPI assigned

Mar 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: efatajo1016370@wm.providencedirect.org

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1043778376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 NE 135TH ST APT 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253192",
            "telephone_number": "425-773-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY S STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082183",
            "telephone_number": "425-773-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAJO",
        "first_name": "EBRIMA",
        "middle_name": "S",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60869727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Fasig, N.D.
• Alison Fasolino
• Christina Marie Fast, O.D.
• Ruth Fast, OTR
• Tatum Fast
• Emily Holderman Fate, ARNP
• Katherine C. Fate, DO
• Yasaman Fatemi, M.D.
• Daniel Fathi, MD
• Joelle P Fathi, DNP, RN, ARNP

• Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.