Individual provider Active NPI

George Wachira Gichuki

  • Nurse's Aide
  • Spokane, WA
National Provider Identifier
1083427009
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
61035936 Issued in WA
Practice address
3732 W Olympic Ave
Spokane, WA 99205-6022
Phone
(509) 863-9925
Fax
(509) 463-7678
NPI assigned
Jan 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 61035936 WA Primary

Addresses

Primary practice location

3732 W Olympic Ave
Spokane, WA 99205-6022

Mailing address

3732 W Olympic Ave
Spokane, WA 99205-6022
Phone (509) 863-9925

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

LicenseStateTypeSpecialty
61035936WAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1083427009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 W OLYMPIC AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056022",
            "telephone_number": "509-863-9925",
            "fax_number": "509-463-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 W OLYMPIC AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056022",
            "telephone_number": "509-863-9925",
            "fax_number": "509-463-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICHUKI",
        "first_name": "GEORGE",
        "middle_name": "WACHIRA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "61035936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.