Shadrack Kiplagat Chumba

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61536180 Issued in WA

Practice address

5421 57TH Street CT W Apt F1
University Place, WA 98467-4326

Phone

(336) 693-1022

NPI assigned

Aug 11, 2025

Sex

Male

Sole proprietor

No

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1215812847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 57TH STREET CT W APT F1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984674326",
            "telephone_number": "336-693-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 57TH STREET CT W APT F1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984674326",
            "telephone_number": "336-693-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMBA",
        "first_name": "SHADRACK",
        "middle_name": "KIPLAGAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61536180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tan-Yi (Flora) Chiu, RN
• Bonnie L Christiansen Mudge, LMHC
• Meesha Christopher, MA, LMFT
• Karen Teresa Christopherson, RPH
• Agathareza N. Chua, LMP
• Marilou Church, RN
• Jessica Clark
• Kacia Clark
• Clear Mental Health LLC
• Robert W Clifford, D.D.S.

• Registered Nurse in University Place, WA
• Providers in University Place, WA by specialty
• Registered Nurse in Washington

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