Active NPI
Full Life Afh LLC
- Registered Nurse
- Federal Way, WA
National Provider Identifier
1134948698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meseret Gutema
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2337023 | Full Life Afh LLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Federal Way, WA
- NPI 1942920392
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.