Active NPI
Isaac Mwangi
- Home Health Registered Nurse
- Bellevue, WA
National Provider Identifier
1093572869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 760424
- Practice address
- 1800 136TH PL NE Ste 100
Bellevue, WA 98005-2343 - Phone
- (425) 800-5557
- NPI assigned
- Feb 28, 2024
- Last updated
- Feb 28, 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 760424 | TX | Primary |
Addresses
Primary practice location
1800 136TH PL NE Ste 100
Bellevue, WA 98005-2343
Mailing address
1800 136TH PL NE Ste 100
Bellevue, WA 98005-2343
Phone (425) 800-5557
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 |
|---|---|---|---|
| 760424 | TX | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amedisys Washington, LLC | Current | Accepting new patients |
Locations
1800 136th Pl NE
Ste 100
Bellevue, WA 98005
Phone (425) 800-5557
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1093572869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 136TH PL NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052343",
"telephone_number": "425-800-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 136TH PL NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052343",
"telephone_number": "425-800-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANGI",
"first_name": "ISAAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "760424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.