Individual provider Active NPI

Kenneth Gitahi Wahu

  • Driver
  • Federal Way, WA
National Provider Identifier
1144904152
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
WDL29SSJ223B Issued in WA
Practice address
3232 SW 326TH St
Federal Way, WA 98023-2534
Phone
(206) 503-5439
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X WDL29SSJ223B WA Primary

Addresses

Primary practice location

3232 SW 326TH St
Federal Way, WA 98023-2534

Mailing address

3232 SW 326TH St
Federal Way, WA 98023-2534
Phone (206) 503-5439

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

State licenses

LicenseStateTypeSpecialty
WDL29SSJ223BWAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1144904152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 SW 326TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232534",
            "telephone_number": "206-503-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 SW 326TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232534",
            "telephone_number": "206-503-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHU",
        "first_name": "KENNETH",
        "middle_name": "GITAHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WA",
            "license": "WDL29SSJ223B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.