Jean Sylvain Miseso Kabuya, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60975493 Issued in WA

Practice address

11019 50TH Ave E
Tacoma, WA 98446-5303

Phone

(206) 850-9109

NPI assigned

Mar 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lydie Adult Family Home LLC

  • Nursing Care Agency
  • Tacoma, WA
  • NPI 1184319063
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1114620184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16816 116TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749119",
            "telephone_number": "206-850-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 50TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984465303",
            "telephone_number": "206-850-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABUYA",
        "first_name": "JEAN SYLVAIN",
        "middle_name": "MISESO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60975493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kaberia
• Chloe Oneal Ronquillo Kabiling
• Eric Kariuki Kabiru, COTA
• Deborah Marie Kabisch, ARNP
• Francis Njenga Kabuu, CNA
• Aparna Kadambi, M.D
• Jamila Kadir
• Carey Yuri Kadohiro
• Faith Kadoshima
• Mark F Kadoshima, DDS

• Registered Nurse in Tacoma, WA
• Providers in Tacoma, 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 27, 2023; 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.