Active NPI
David Ndungu
- Registered Nurse
- Lakewood, WA
National Provider Identifier
1083421523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61258550
- Practice address
- 111 Candlewyck Dr W
Lakewood, WA 98499-8113 - Phone
- (978) 885-7422
- Fax
- (253) 352-8099
- NPI assigned
- Dec 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61258550 | WA | Primary |
Addresses
Primary practice location
111 Candlewyck Dr W
Lakewood, WA 98499-8113
Mailing address
111 Candlewyck Dr W
Lakewood, WA 98499-8113
Phone (978) 885-7422
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 |
|---|---|---|---|
| RN61258550 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Heights Homecare LLC | Current | Accepting new patients | |
| Daystar Olympia Adult Family Home LLC | Registered Nurse | Current | Accepting new patients |
| American Hearts Homecare LLC | Current | Accepting new patients | |
| TSS Transportation LLC | Current | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1164395638
-
- Home Health Agency
- Lowell, MA
- NPI 1659786119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1083421523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CANDLEWYCK DR W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998113",
"telephone_number": "978-885-7422",
"fax_number": "253-352-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CANDLEWYCK DR W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998113",
"telephone_number": "978-885-7422",
"fax_number": "253-352-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUNGU",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61258550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.