Charline Achieng Otieno

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA60978173 Issued in WA

Practice address

4831 35TH Ave SW
Seattle, WA 98126-2709

Phone

(206) 937-3700

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1194592147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9902 24TH AVENUE CT S APT V304",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984447780",
            "telephone_number": "253-229-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262709",
            "telephone_number": "206-937-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIENO",
        "first_name": "CHARLINE",
        "middle_name": "ACHIENG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NA60978173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry O Otero, MD
• Jessica Marie Otero, PHARMD
• Other Spaces - a Therapy Studio, PLLC
• Ibraheem Mohammed Othman
• Rosalind Schaefer Oti, PH.D.
• Sammy Otis
• Jeffrey P Otjen, MD
• Kaori Oto, LMT
• Elizabeth Ott, EAMP
• Jamie L Ott, DO

• Nurse's Aide in Seattle, WA
• Providers in Seattle, WA by specialty
• Nurse's Aide in Washington

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