NPIMap

Organization Active NPI

St Peter Health Services LLC

  • Nurse's Aide
  • Lakewood, WA
National Provider Identifier
1093406316
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
ST PETER HEALTH SERVICES LLC
Practice address
10828 Gravelly Lake Dr SW Ste 109
Lakewood, WA 98499-1300
Phone
(253) 433-3908
Fax
(253) 267-0358
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Patricia Wachuka Waithaka, NACNPI 1265058416
Title
Business Director
Phone
(253) 341-9642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary
Respite Care Camp 385HR2050X

Addresses

Primary practice location

10828 Gravelly Lake Dr SW Ste 109
Lakewood, WA 98499-1300

Mailing address

10828 Gravelly Lake Dr SW Ste 109
Lakewood, WA 98499-1300
Phone (253) 433-3908

National Provider Directory

National Provider Directory

Locations

10828 Gravelly Lake Dr SW
Ste 109
Lakewood, WA 98499
Phone (253) 341-9642

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1093406316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 109",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991300",
            "telephone_number": "253-433-3908",
            "fax_number": "253-267-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 109",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991300",
            "telephone_number": "253-433-3908",
            "fax_number": "253-267-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETER HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "WAITHAKA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "WACHUKA",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "253-341-9642",
        "authorized_official_credential": "NAC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 17, 2023; 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.