Active NPI
Ismail Ssebuliba
- Nurse's Aide
- Kirkland, WA
National Provider Identifier
1114856994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NC61681752
- Practice address
- 11410 NE 122ND Way Ste 100
Kirkland, WA 98034-6927 - Phone
- (425) 650-4005
- NPI assigned
- May 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC61681752 | WA | Primary |
Addresses
Primary practice location
11410 NE 122ND Way Ste 100
Kirkland, WA 98034-6927
Mailing address
11410 NE 122ND Way Ste 100
Kirkland, WA 98034-6927
Phone (425) 650-4005
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
| License | State | Type | Specialty |
|---|---|---|---|
| NC61681752 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1114856994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11410 NE 122ND WAY STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346927",
"telephone_number": "425-650-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11410 NE 122ND WAY STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346927",
"telephone_number": "425-650-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SSEBULIBA",
"first_name": "ISMAIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC61681752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
- Melissa Sierra Michelle Sprenkel
- Ana-Irina Springer, RNFA, ARNP
- Leanne Spromberg, LD, CLE, PMH-C, CPD
- Sprout Clubhouse
- SRC Homecare, Inc. (BrightStar Care of Bellevue)
- Renee St Jacques, PSY.D
- Christian St. Jacques, LMHCA (MC 61093652)
- Madison Sta.Ines
- Stable Ground Therapy, LLC
- Shobha Williamson Stack, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.