Individual provider Active NPI

James Ndungu Nduati

  • Adult Companion
  • Puyallup, WA
National Provider Identifier
1083462204
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
756862 Issued in WA
Practice address
10549 190TH St E
Puyallup, WA 98374-9779
Phone
(206) 816-4661
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 756862 WA Primary

Addresses

Primary practice location

10549 190TH St E
Puyallup, WA 98374-9779

Mailing address

10549 190TH St E
Puyallup, WA 98374-9779
Phone (206) 816-4661

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
756862WAMDAdult Companion

Practice roles

OrganizationSpecialtyStatusNew patients
Care Direct Haven LLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1083462204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 190TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749779",
            "telephone_number": "206-816-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 190TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749779",
            "telephone_number": "206-816-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUATI",
        "first_name": "JAMES",
        "middle_name": "NDUNGU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "WA",
            "license": "756862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.