Active NPI
Sarah Nyambura
- Licensed Practical Nurse
- Tacoma, WA
National Provider Identifier
1053973990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60602447
- Practice address
- 721 Fawcett Ave Ste 100
Tacoma, WA 98402-5502 - Phone
- (253) 593-2413
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60602447 | WA | Primary |
Addresses
Primary practice location
721 Fawcett Ave Ste 100
Tacoma, WA 98402-5502
Mailing address
3870 D PL SE Apt 4
Auburn, WA 98002-8088
Phone (253) 335-6788
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nyambura | ||
| CONNECT URL | nyambura |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP60602447 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1053973990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 D PL SE APT 4",
"city": "AUBURN",
"state": "WA",
"postal_code": "980028088",
"telephone_number": "253-335-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 FAWCETT AVE STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025502",
"telephone_number": "253-593-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYAMBURA",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60602447",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nyambura",
"affiliation": "N",
"address_1": "721 Fawcett Ave Ste 100",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984025502",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nyambura",
"affiliation": "N",
"address_1": "721 Fawcett Ave Ste 100",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984025502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.