Martine Bedimo-Mbia, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60947198 Issued in WA

Practice address

5412 57TH Street Court West
Apt D1
University Place, WA 98467-4331

Phone

(253) 376-2953

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1285310839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 57TH STREET CT W APT D1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984674331",
            "telephone_number": "253-376-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 57TH STREET COURT WEST",
            "address_2": "APT D1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984674331",
            "telephone_number": "253-376-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDIMO-MBIA",
        "first_name": "MARTINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60947198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayside Chiropractic, PLLC
• Yvette Josephine Bea, MA
• Beachfront Therapy Consultants LLC
• Scott L Beasley, O.D.
• Tyler Shaquille Beauchamp
• Michaela Jade Beggs, RDN
• Beltone Hearing Center
• Keena C Berndt-Morrow, D.C.
• Brian J Berry, MD
• Denise Rachel Bessette, LMP

• Licensed Practical Nurse in University Place, WA
• Providers in University Place, WA by specialty
• Licensed Practical Nurse in Washington

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