Individual provider Active NPI

Mwai Kate Nyasulu

  • Home Health Agency
  • Kent, WA
National Provider Identifier
1306645247
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
757578 Issued in WA
Practice address
26007 132ND Ave SE
Kent, WA 98042-3503
Phone
(206) 816-9207
Fax
(253) 479-2430
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 757578 WA
Home Health Agency 251E00000X 757578 WA Primary

Addresses

Primary practice location

26007 132ND Ave SE
Kent, WA 98042-3503

Mailing address

26007 132ND Ave SE
Kent, WA 98042-3503
Phone (206) 816-9207

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
757578WAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1306645247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26007 132ND AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423503",
            "telephone_number": "206-816-9207",
            "fax_number": "253-479-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26007 132ND AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423503",
            "telephone_number": "206-816-9207",
            "fax_number": "253-479-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYASULU",
        "first_name": "MWAI",
        "middle_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "WA",
            "license": "757578",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "757578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.