Individual provider Active NPI

Afuthal Ndugwa Ssemakula, BSN, RN

  • Psychiatric/Mental Health Registered Nurse
  • Wenatchee, WA
National Provider Identifier
1184235418
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN61073206 Issued in WA
Practice address
614 Riverside Dr Apt B103
Wenatchee, WA 98801-6154
Phone
(253) 301-9264
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61073206 WA Primary

Addresses

Primary practice location

614 Riverside Dr Apt B103
Wenatchee, WA 98801-6154

Mailing address

3122 49TH Ave NE
Tacoma, WA 98422-2915
Phone (253) 301-9264

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61073206WAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1184235418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 49TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222915",
            "telephone_number": "253-301-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 RIVERSIDE DR APT B103",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016154",
            "telephone_number": "253-301-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SSEMAKULA",
        "first_name": "AFUTHAL",
        "middle_name": "NDUGWA",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61073206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.