Active NPI
Ana Rose Mamuric Lumauig
- Licensed Practical Nurse
- Kent, WA
National Provider Identifier
1194357061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 60184626
- Practice address
- 21851 84TH Ave S Ste 101
Kent, WA 98032-1958 - Phone
- (425) 687-7082
- NPI assigned
- Feb 10, 2020
- Last updated
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 60184626 | WA | Primary |
Addresses
Primary practice location
21851 84TH Ave S Ste 101
Kent, WA 98032-1958
Mailing address
23630 126TH PL SE
Kent, WA 98031-3728
Phone (253) 246-9347
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60184626 | WA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS, Inc. | Past | Accepting new patients | |
| WCHS, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1194357061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23630 126TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980313728",
"telephone_number": "253-246-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21851 84TH AVE S STE 101",
"city": "KENT",
"state": "WA",
"postal_code": "980321958",
"telephone_number": "425-687-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMAUIG",
"first_name": "ANA ROSE",
"middle_name": "MAMURIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "60184626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
- Kathleen Elizabeth Lucier
- Tammy Elaine Lucke, LMP
- Kharibee Lugo
- Arthur Bing Lum Jr., O.D.
- Gina Lumabao, MSN, RN
- Luna Adult Family
- Luna Healthcare, LLC (Sonus Hearing Care Professionals)
- Luna Healthcare, LLC (Sonus Hearing Care Professionals)
- Luna Healthcare, LLC (Sonus Hearing Care Professionals)
- Emily Luna
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.