Misrak Gebrie Herego I, PROVIDER

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

757264 Issued in WA

Practice address

32223 25TH Ave SW
Federal Way, WA 98023-2508

Phone

(206) 349-6892

NPI assigned

Jul 2, 2025

Last updated

Jul 2, 2025By the provider in NPPES

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

Practice roles

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.

• Bethsaida

  • Nursing Care Agency
  • Federal Way, WA
  • NPI 1336030444
  NPD Authorized official

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1194614180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32223 25TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232508",
            "telephone_number": "206-349-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32223 25TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232508",
            "telephone_number": "206-349-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREGO",
        "first_name": "MISRAK",
        "middle_name": "GEBRIE",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "757264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Hendricks, DC, MS
• Curtis Edward Hendrickson, COTA/L
• Marisa Hendron
• Theodore Mark Hennessey, DDS
• Heather L Heppenstall, MD
• Kerizma Hernandez, LMP
• Molly Marie Hernandez, ARNP, CNM
• Jocelyne Stephanie Herrera
• Lavern Gonzales Herrera, RPH
• Shanna Lee Herrick, MOT, OTR/L

• Nurse's Aide in Federal Way, WA
• Providers in Federal Way, 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 Jul 2, 2025; 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.