Individual provider Active NPI

Peninah Wambui Mwangi-Segali

  • Registered Respiratory Therapist
  • Nampa, ID
National Provider Identifier
1225811144
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
LRT-1171 Issued in ID
Practice address
2106 W Neilscott Dr
Nampa, ID 83651-5060
Phone
(208) 794-2646
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X LRT-1171 ID Primary

Addresses

Primary practice location

2106 W Neilscott Dr
Nampa, ID 83651-5060

Mailing address

2106 W Neilscott Dr
Nampa, ID 83651-5060
Phone (208) 794-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LRT-1171IDMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1225811144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 W NEILSCOTT DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515060",
            "telephone_number": "208-794-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W NEILSCOTT DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515060",
            "telephone_number": "208-794-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGI-SEGALI",
        "first_name": "PENINAH",
        "middle_name": "WAMBUI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "ID",
            "license": "LRT-1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.