Individual provider Active NPI

Faith Rachelle Agduyeng Sairez, ARNP

  • Family Nurse Practitioner
  • Kent, WA
National Provider Identifier
1134882467
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61213549 Issued in WA
Practice address
10024 SE 240TH St Ste 201
Kent, WA 98031-5124
Phone
(253) 859-2273
Fax
(253) 850-8894
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61213549 WA
Family Nurse Practitioner 363LF0000X AP61213549 WA Primary

Addresses

Primary practice location

10024 SE 240TH St Ste 201
Kent, WA 98031-5124

Mailing address

10024 SE 240TH St Ste 201
Kent, WA 98031-5124
Phone (253) 859-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215002695 WA Practitioner - Nurse Practitioner 1153712708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MB2K, LLC CurrentSince Nov 26, 2022 Accepting new patients
Healthpoint CurrentSince Jan 9, 2022 Accepting new patients
Pacmed Clinics CurrentSince Jul 1, 2024 Accepting new patients
Healthpoint Current Accepting new patients
Pacmed Clinics CurrentSince Jul 1, 2024 Accepting new patients
Healthpoint CurrentSince Jan 9, 2022 Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

31833 Gateway Center Blvd S
#B
Federal Way, WA 98003
Phone (253) 214-1920

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

10024 SE 240th St
Ste 201
Kent, WA 98031
Phone (253) 859-2273

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

8301 161st Ave NE
Ste 103
Redmond, WA 98052
Phone (425) 284-1767

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1134882467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-859-2273",
            "fax_number": "253-850-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-859-2273",
            "fax_number": "253-850-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIREZ",
        "first_name": "FAITH RACHELLE",
        "middle_name": "AGDUYENG",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61213549",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61213549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.