Organization Active NPI

Luna Nurse Delegation PLLC

  • Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1124651245
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
LUNA NURSE DELEGATION PLLC
Practice address
16432 40TH PL W
Lynnwood, WA 98037-9023
Phone
(206) 919-8722
Fax
(425) 357-1170
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Tsehay M Seyoum, RNNPI 1073159828
Title
Registered Nurse/President
Phone
(206) 919-8722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

16432 40TH PL W
Lynnwood, WA 98037-9023

Mailing address

16432 40TH PL W
Lynnwood, WA 98037-9023
Phone (206) 919-8722

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1124651245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16432 40TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980379023",
            "telephone_number": "206-919-8722",
            "fax_number": "425-357-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16432 40TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980379023",
            "telephone_number": "206-919-8722",
            "fax_number": "425-357-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA NURSE DELEGATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "SEYOUM",
        "authorized_official_first_name": "TSEHAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED NURSE/PRESIDENT",
        "authorized_official_telephone_number": "206-919-8722",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.