Individual provider Active NPI

Reginah Nampinga, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1104394097
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
60979518 Issued in WA
Practice address
1019 112TH St SW
Everett, WA 98204-4875
Phone
(425) 551-6216
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60326130 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60979518 WA Primary

Addresses

Primary practice location

1019 112TH St SW
Everett, WA 98204-4875

Mailing address

1019 112TH St SW
Everett, WA 98204-4875
Phone (425) 551-6216

Other practice location 1

1701 18th Ave S
Seattle, WA 98144-4317
Phone (253) 833-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028002468 WA Practitioner - Nurse Practitioner 4183956964 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

1330 Rockefeller Ave
Suite 140
Everett, WA 98201-1682
Phone (425) 261-4210

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60326130WAMDRegistered Nurse
60979518WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Mar 12, 2023 Accepting new patients
Providence Health & Services-Washington CurrentSince Feb 28, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince Mar 12, 2023 Accepting new patients
Valley Cities Counseling and Consultation CurrentSince Jan 29, 2020 Accepting new patients
Providence Health & Services-Wa Current Accepting new patients
Community Health Center of Snohomish County CurrentSince Sep 9, 2019 Accepting new patients
Providence Health & Services-Wa Psychiatric/Mental Health CurrentSince Feb 28, 2025 Accepting new patients
Community Health Center of Snohomish County CurrentSince Sep 9, 2019 Accepting new patients
Shifa Health PLLC CurrentSince Dec 15, 2020 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

10333 19th Ave SE
Ste 109
Everett, WA 98208
Phone (425) 742-4600

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

325 W Gowe St
Kent, WA 98032

1103 Cleveland Ave
Mount Vernon, WA 98273
Phone (360) 336-6868

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1701 18th Ave S
Seattle, WA 98144
Phone (206) 731-7210

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1104394097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044875",
            "telephone_number": "425-551-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044875",
            "telephone_number": "425-551-6216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 18th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981444317",
            "country_code": "US",
            "telephone_number": "253-833-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMPINGA",
        "first_name": "REGINAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60326130",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60979518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.