Active NPI
Rachel W. Nginyi Munyoli, ARNP
- Gerontology Nurse Practitioner
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP60993229
- Practice address
- 400 S 43Rd St
Renton, WA 98055-5714 - Phone
- (425) 656-5566
- Fax
- (425) 656-5567
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN60993233 | WA | |
| Nurse Practitioner | 363L00000X | 719800 | TX | |
| Nurse Practitioner | 363L00000X | AP60993229 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP60993229 | WA | Primary |
Addresses
Primary practice location
400 S 43Rd St
Renton, WA 98055-5714
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4970
Phone (425) 690-2715
Other practice location 1
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1135 116TH Ave NE
Suite 500
Bellevue, WA 98004-4627
Phone (425) 635-6560
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60993233 | WA | MD | Gerontology Registered Nurse |
| 719800 | TX | MD | Nurse Practitioner |
| AP60993229 | WA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Living Expression PLLC | Current | Accepting new patients | |
| Valley Medical Group-Renton | Nurse Practitioner | Current | Accepting new patients |
| Overlake Medical Clinics LLC | Current | Accepting new patients |
Locations
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Organizations & group practices 4
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
Nurse Practitioner
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1376316943
-
- Specialist
- Bellevue, WA
- NPI 1871745703
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1265831911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574970",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-656-5566",
"fax_number": "425-656-5567"
}
],
"practiceLocations": [
{
"address_1": "11511 Shadow Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775847298",
"country_code": "US",
"telephone_number": "713-442-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGINYI MUNYOLI",
"first_name": "RACHEL",
"middle_name": "W.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "WA",
"license": "RN60993233",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "719800",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60993229",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP60993229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.