Individual provider Active NPI

Peter Muchene Sr.

  • Home Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1295150506
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN1247817 Issued in WA
Practice address
4645 Tamarack Blvd Apt 106
Columbus, OH 43229-6553
Phone
(614) 569-1446
NPI assigned
Feb 24, 2014
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN1247817 WA Primary

Addresses

Primary practice location

4645 Tamarack Blvd Apt 106
Columbus, OH 43229-6553

Mailing address

19157 120TH CT SE
Renton, WA 98058-5047
Phone (614) 569-1446

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
RN1247817WAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1295150506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19157 120TH CT SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585047",
            "telephone_number": "614-569-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 TAMARACK BLVD APT 106",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296553",
            "telephone_number": "614-569-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHENE",
        "first_name": "PETER",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN1247817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.