Individual provider Active NPI

Esther Giles Mitema, RN

  • Registered Nurse
  • Marysville, WA
National Provider Identifier
1063103034
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61152003 Issued in WA
Practice address
5522 90TH PL NE
Marysville, WA 98270-2787
Phone
(309) 229-4689
NPI assigned
May 18, 2023
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61152003 WA Primary

Addresses

Primary practice location

5522 90TH PL NE
Marysville, WA 98270-2787

Mailing address

5522 90TH PL NE
Marysville, WA 98270-2787
Phone (309) 229-4689

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61152003WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St.Philomena Afh LLC Registered Nurse CurrentSince Oct 20, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1063103034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 90TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702787",
            "telephone_number": "309-229-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 90TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702787",
            "telephone_number": "309-229-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITEMA",
        "first_name": "ESTHER",
        "middle_name": "GILES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61152003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.