Annuciata Akongo, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

163WH0200X Issued in WA

Practice address

401 Olympia Ave NE
255
Renton, WA 98056-4117

Phone

(425) 226-5373

Fax

(425) 235-5703

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1295069581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OLYMPIA AVE NE",
            "address_2": "SUITE 255",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564117",
            "telephone_number": "425-226-5373",
            "fax_number": "425-235-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLYMPIA AVE NE",
            "address_2": "255",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564117",
            "telephone_number": "425-226-5373",
            "fax_number": "425-235-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKONGO",
        "first_name": "ANNUCIATA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "163WH0200X",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "251E00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Renton, WA
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.