Susan Waweru

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61276637 Issued in WA

Practice address

10216 N Sundance Dr
Spokane, WA 99208-9315

Phone

(508) 612-3875

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Sundance Adult Family Home LLC

  • Adult Care Home Facility
  • Spokane, WA
  • NPI 1629785159
  NPD Authorized official
• Advocate Pediatric Home Care LLC

  • Home Health Agency
  • Conroe, TX
  • NPI 1285937987
  NPD (past)

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1255819967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 N SUNDANCE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089315",
            "telephone_number": "508-612-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 N SUNDANCE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089315",
            "telephone_number": "508-612-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWERU",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "853810",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61276637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley R Watters, LDO, ABOC, NCLEC
• Kara Michelle Wattles, BASW
• Alexandrea Anne Watts, LMP
• James C Wavra, OD
• Joshua A Wavra
• Augustus James Way, SUDPT, MA
• Wayfarer Speech Therapy PLLC
• Tasha Christine Wayne, CDPT
• WCHS Inc
• Amelia Weaks, CDP

• Registered Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.