NPIMap

Organization Active NPI

MB2K, LLC

Doing business as FamilyCare of Kent

  • Family Nurse Practitioner
  • Kent, WA
National Provider Identifier
1063826329
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60471340 Issued in WA
Legal business name
MB2K, LLC
Doing business as
FamilyCare of Kent
Practice address
10024 SE 240TH St
Suite 201
Kent, WA 98031-5124
Phone
(253) 859-2273
Fax
(253) 850-8894
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Madeline D Wiley, ARNPNPI 1932195526
Title
Arnp/Owner
Phone
(253) 859-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP60471340 WA Primary

Addresses

Primary practice location

10024 SE 240TH St
Suite 201
Kent, WA 98031-5124

Mailing address

10024 SE 240TH St
Suite 201
Kent, WA 98031-5124
Phone (253) 859-2273

Other names 1

  • FamilyCare of Kent Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Familycare of Kent2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • MB2K, LLC

    dba Familycare of Kent

    • Primary Care Clinic/Center
    • Kent, WA
    • NPI 1821276759
    NPD tax ID

Locations

10024 SE 240th St
Ste 201
Kent, WA 98031
Phone (253) 859-2273

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1063826329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST",
            "address_2": "SUITE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-859-2273",
            "fax_number": "253-850-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST",
            "address_2": "SUITE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-859-2273",
            "fax_number": "253-850-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB2K, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "253-859-2273",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60471340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamilyCare of Kent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.