Loise Ndegwa
Individual provider Active NPI Registered Nurse · Buckley, WA
NPI 1093692402 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1093692402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 60990836 (WA)
- Practice address
- 1551 Whitmore Way
Buckley, WA 98321-9288 - Phone
- (253) 240-8771
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60990836 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60990836 | WA | Yes |
Addresses
Primary practice location
1551 Whitmore Way
Buckley, WA 98321-9288
Mailing address
1551 Whitmore Way
Buckley, WA 98321-9288
Other providers in Buckley, WA
- Ebrahim Mirjalili
- Karine Mish
- Sientje Morris
- Denyse Mueller
- Lisa Marie Munden
- Kenya Nelson
- Lindsey Anne Nice
- Natalie Nicole Nordell
- Tomoko Okada
- Physio Northwest LLC
All providers in Buckley, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.