Individual provider Active NPI

Faith Wambui Muchiri

  • Hospice Registered Nurse
  • San Tan Valley, AZ
National Provider Identifier
1255067294
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
RN216641 Issued in AZ
Practice address
4139 E Coal St
San Tan Valley, AZ 85143-6029
Phone
(480) 977-7307
NPI assigned
Jul 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X RN216641 AZ Primary

Addresses

Primary practice location

4139 E Coal St
San Tan Valley, AZ 85143-6029

Mailing address

4139 E Coal St
San Tan Valley, AZ 85143-6029
Phone (148) 097-7730

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
RN216641AZMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliance Health Staffing Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1255067294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 E COAL ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436029",
            "telephone_number": "148-097-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 E COAL ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436029",
            "telephone_number": "480-977-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHIRI",
        "first_name": "FAITH",
        "middle_name": "WAMBUI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "AZ",
            "license": "RN216641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.