Individual provider Active NPI

James Mwangi Murigi-Coins, ARNP

  • Gerontology Nurse Practitioner
  • University Place, WA
National Provider Identifier
1174166599
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
61589022 Issued in WA
Practice address
6817 27TH St W Unit 65437
University Place, WA 98464-0509
Phone
(405) 922-9276
NPI assigned
Oct 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60116378 WA
Gerontology Nurse Practitioner 363LG0600X 61589022 WA Primary

Addresses

Primary practice location

6817 27TH St W Unit 65437
University Place, WA 98464-0509

Mailing address

6817 27TH St W Unit 65437
University Place, WA 98464-1437
Phone (405) 922-9276

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241101003342 WA Practitioner - Nurse Practitioner 6406389162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

19803 1St Ave S
Suite 200
Normandy Park, WA 98148-2410
Phone (480) 712-8319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61589022WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Medical Group Gerontology CurrentSince Sep 29, 2024 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

19803 1st Ave S
Ste 200
Normandy Park, WA 98148
Phone (206) 870-7549

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1174166599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 27TH ST W UNIT 65437",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984641437",
            "telephone_number": "405-922-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 27TH ST W UNIT 65437",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984640509",
            "telephone_number": "405-922-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURIGI-COINS",
        "first_name": "JAMES",
        "middle_name": "MWANGI",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60116378",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "61589022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.