St.Philomena Afh LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

ST.PHILOMENA AFH LLC

Practice address

5522 90TH PL NE
Marysville, WA 98270-2787

Phone

(309) 229-4689

Fax

(360) 691-9482

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Esther MitemaNPI 1063103034

Title

Provider

Phone

(309) 229-4689

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Esther Giles Mitema, RN

  • Registered Nurse
  • Marysville, WA
  • NPI 1063103034
  NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1104646934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 90TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702787",
            "telephone_number": "309-229-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 90TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702787",
            "telephone_number": "309-229-4689",
            "fax_number": "360-691-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.PHILOMENA AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MITEMA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "309-229-4689"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3606919482",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "5522 90th Pl NE",
            "city": "Marysville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982702787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Spencer, RPH
• Julie Spillane, LMP
• Erin Spoors
• Emily Spores, LM, CPM, IBCLC
• SSFC PS (State Street Family Chiropractic)
• Charlie Stanford Jr., MS, LMHCA
• Victoria A Starrett, CNA HHA
• Patrick Staso, MD
• Aaron Joseph Statner, D.C.
• Dale Scott Stayner, DDS

• Registered Nurse in Marysville, WA
• Providers in Marysville, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.