Miriam Neema Bagalwa, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP61149727 Issued in WA

Practice address

33530 1St Way S Ste 102
Federal Way, WA 98003-7332

Phone

(206) 915-6166

Fax

(206) 673-8050

NPI assigned

Feb 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Serenemind Solutions LLC

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1528822863
  Medicare reassignment NPD Authorized official
• Bastion Health PC

  dba Crown Health

  • Family Medicine Physician
  • Tukwila, WA
  • NPI 1750921193
  Medicare reassignment NPD
• F&M Healthcare, LLC

  dba F&M Healthcare

  • Internal Medicine Physician
  • University Place, WA
  • NPI 1861145120
  Medicare reassignment NPD
• Providence Health & Services Washington

  dba Providence Medical Group SouthWest Washington

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1174744304
  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba MultiCare Behavioral Health

  • Community/Behavioral Health Agency
  • Auburn, WA
  • NPI 1861872178
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1144812009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 MAIN ST E UNIT 104",
            "address_2": "PMB 231",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902689",
            "telephone_number": "253-642-4104",
            "fax_number": "206-673-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33530 1ST WAY S STE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037332",
            "telephone_number": "206-915-6166",
            "fax_number": "206-673-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Fairview Dr",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984061015",
            "country_code": "US",
            "telephone_number": "253-777-1423",
            "fax_number": "206-673-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGALWA",
        "first_name": "MIRIAM",
        "middle_name": "NEEMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61149727",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61149727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rutvij J Badshah
• Mohinder Singh Badyal, M.D.
• Byeong Charlie Bae, L.AC.
• Seung Gi Baek, L.AC.
• Maria Paula Baerenwald, MS, CCC-SLP
• Keane Joseph Bagby, D.C.
• Wendy Marie Baggott, AUD
• Jessica Alison Bahr
• George M Bailey, CRNA
• Michael Baily, DMD

• Adult Health Nurse Practitioner in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.