Mawatta Bamba

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

24620 Russell Rd Apt 106
Kent, WA 98032-4727

Phone

(206) 468-8105

NPI assigned

Apr 27, 2022

Sex

Female

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

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1245974971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24620 RUSSELL RD APT 106",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324727",
            "telephone_number": "206-468-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24620 RUSSELL RD APT 106",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324727",
            "telephone_number": "206-468-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBA",
        "first_name": "MAWATTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepa Lakshmmi Balaraman, RD
• Rose Marie Baldridge, CP60235875
• Baldwin Chiropractic
• Ryan Ball
• Joan Ballan-Alvarado, RN BSN
• Evan Ray Bandy, DC
• Jeremy Tyson Bang, RN, DNP, PMHNP-BC
• Kamesha Banks
• Joanne Bannerot, DDS
• Jayanthi Bantwal, DDS

• Attendant Care Provider in Kent, WA
• Providers in Kent, WA by specialty
• Attendant Care Provider in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.