Kindalem Asres

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60622978 Issued in WA

Practice address

29850 18TH Ave S
Federal Way, WA 98003-4202

Phone

(206) 445-7444

NPI assigned

May 23, 2022

Sex

Male

Sole proprietor

Yes

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

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.

• A & K Adult Family Home LLC

  • Registered Nurse
  • Federal Way, WA
  • NPI 1396483897
  NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1134867831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27920 21ST AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036949",
            "telephone_number": "206-228-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29850 18TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034202",
            "telephone_number": "206-445-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASRES",
        "first_name": "KINDALEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60622978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley House
• Geoffrey Ashmun, MA
• Asio Family Care
• Zuhra Aslami
• Ann Asmussen, DO
• Lauren Margaret Athay, M.D.
• Alexi Atkinson
• John Atkinson, LMP
• Auburn Regional Medical Group
• Donald Courtney Ausink, D.D.S.

• Registered Nurse in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.