Active NPI
Paul Mwaura Ndichu
- Behavior Technician
- Mountlake Terrace, WA
National Provider Identifier
1144884479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4308 226TH St SW
Mountlake Terrace, WA 98043-4577 - Phone
- (253) 487-4664
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4308 226TH St SW
Mountlake Terrace, WA 98043-4577
Mailing address
4308 226TH St SW
Mountlake Terrace, WA 98043-4577
Phone (253) 487-4664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82273 | Other | WA | BACKGROUND FILE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1144884479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 226TH ST SW",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980434577",
"telephone_number": "253-487-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 226TH ST SW",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980434577",
"telephone_number": "253-487-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDICHU",
"first_name": "PAUL",
"middle_name": "MWAURA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACKGROUND FILE NUMBER",
"identifier": "82273",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.