Jedidah Wangoi Maina

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61644177 Issued in WA

Practice address

2909 Dale LN E
Fife, WA 98424-2305

Phone

(206) 319-2945

Fax

(253) 517-8476

NPI assigned

Jan 3, 2024

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1225808108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 DALE LN E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242305",
            "telephone_number": "206-319-2945",
            "fax_number": "253-517-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 DALE LN E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242305",
            "telephone_number": "206-319-2945",
            "fax_number": "253-517-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINA",
        "first_name": "JEDIDAH",
        "middle_name": "WANGOI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61644177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Loucks
• Laura Love
• Stanlee Santos Lu, M.D.
• Daniel Orden Lukaczer, ND
• Stephanie Lungo
• Samantha Allison Maki, DPT
• Queenie Marquinez, RN
• Rebecca Ann Martinez
• Maria Masila
• Catherine May

• Licensed Practical Nurse in Fife, WA
• Providers in Fife, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.