Individual provider Active NPI

Arthur Maina Wangeci, LPN

  • Licensed Practical Nurse
  • Des Moines, WA
National Provider Identifier
1104779842
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP.61365810 Issued in WA
Practice address
20817 17TH Ave S
Des Moines, WA 98198-7665
Phone
(206) 257-6200
NPI assigned
Feb 20, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 99541 TN
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X LP.61365810 WA Primary

Addresses

Primary practice location

20817 17TH Ave S
Des Moines, WA 98198-7665

Mailing address

27104 48TH PL S Apt O304
Kent, WA 98032-6257

Other practice location 1

19235 15th Ave NW
Shoreline, WA 98177-2725
Phone (206) 546-2666

Other practice location 2

11411 Bridgeport Way SW
Lakewood, WA 98499-3047
Phone (253) 581-9002

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

LicenseStateTypeSpecialty
99541TNMDLicensed Practical Nurse
LP.61365810WAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Correctional Entity PastSince Mar 11, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1104779842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27104 48TH PL S APT O304",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20817 17TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987665",
            "telephone_number": "206-257-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19235 15th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981772725",
            "country_code": "US",
            "telephone_number": "206-546-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11411 Bridgeport Way SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984993047",
            "country_code": "US",
            "telephone_number": "253-581-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANGECI",
        "first_name": "ARTHUR",
        "middle_name": "MAINA",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "99541",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP.61365810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.