Active NPI
Hassen Yimer Leggese
- Critical Care Medicine Registered Nurse
- Everett, WA
National Provider Identifier
1306628292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN60095077
- Practice address
- 123 119TH St SE
Everett, WA 98208-4957 - Phone
- (206) 371-2167
- NPI assigned
- Oct 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN60095077 | WA | Primary |
Addresses
Primary practice location
123 119TH St SE
Everett, WA 98208-4957
Mailing address
123 119TH St SE
Everett, WA 98208-4957
Phone (206) 371-2167
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60095077 | WA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1306628292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 119TH ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084957",
"telephone_number": "206-371-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 119TH ST SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982084957",
"telephone_number": "206-371-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGESE",
"first_name": "HASSEN",
"middle_name": "YIMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WA",
"license": "RN60095077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.