Teresiah Mugi

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

757800 Issued in WA

Practice address

420 S Legg St
Medical Lake, WA 99022-8903

Phone

(206) 739-2262

NPI assigned

Jun 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1215823646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S LEGG ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228903",
            "telephone_number": "206-739-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S LEGG ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228903",
            "telephone_number": "206-739-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGI",
        "first_name": "TERESIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "757800",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61330941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Emily Mitchell
• Jennifer Mitchell, PHARM.D.
• Fereshteh Momeni, M.D.
• Maria Lydia Montenegro, MD
• Paul D Morrison, MD
• Natural Health Ctr of Med Lake PS (Essential Health Group)
• Averly H Nelson, M.D.
• Connie Nelson
• Maureen Tara Nickerson, PSYD
• Ruth Ann Oman, ARNP

• Adult Care Home Facility in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.