Organization Active NPI

Full Life Afh LLC

  • Registered Nurse
  • Federal Way, WA
National Provider Identifier
1134948698
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
FULL LIFE AFH LLC
Practice address
34213 31St Ave SW
Federal Way, WA 98023
Phone
(206) 227-2181
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Meseret GutemaNPI 1942920392
Title
Provider
Phone
(206) 227-2181

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 Nurse 163W00000X Primary

Addresses

Primary practice location

34213 31St Ave SW
Federal Way, WA 98023

Mailing address

34213 31St Ave SW
Federal Way, WA 98023

Other names 1

  • Full Life AFH Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2337023Full Life Afh LLC34213 31St Ave SW, Federal Way, WA 98023Certificate of waiverApr 4, 2028

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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1134948698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34213 31ST AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34213 31ST AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023",
            "telephone_number": "206-227-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "GUTEMA",
        "authorized_official_first_name": "MESERET",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-227-2181"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Life AFH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Full Life AFH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.