Active NPI
Roberto Gempesaw, RN
- Registered Nurse
- Seattle, WA
National Provider Identifier
1124455647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00081584
- Practice address
- 5715 S Prentice St
Seattle, WA 98178-2248 - Phone
- (206) 225-4118
- NPI assigned
- Sep 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00081584 | WA | Primary |
Addresses
Primary practice location
5715 S Prentice St
Seattle, WA 98178-2248
Mailing address
5715 S Prentice St
Seattle, WA 98178-2248
Phone (206) 225-4118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817363 | Other | WA | PROVIDER NUMBER |
Other names 1
- Mr. Robert Gempesaw
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00081584 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380326400000",
"number": "1124455647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 S PRENTICE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981782248",
"telephone_number": "206-225-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 S PRENTICE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981782248",
"telephone_number": "206-225-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEMPESAW",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-28",
"last_updated": "2013-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00081584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "817363",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "GEMPESAW",
"prefix": "MR.",
"credential": "RND",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.