Active NPI
Mary Wairimu Maina
- Registered Nurse
- Port Orchard, WA
National Provider Identifier
1306711353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61115572
- Practice address
- 2176 Ponderosa Dr SE
Port Orchard, WA 98366-5720 - Phone
- (816) 551-9000
- NPI assigned
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61115572 | WA | Primary |
Addresses
Primary practice location
2176 Ponderosa Dr SE
Port Orchard, WA 98366-5720
Mailing address
2176 Ponderosa Dr SE
Port Orchard, WA 98366-5720
Phone (816) 551-9000
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 |
|---|---|---|---|
| RN61115572 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1306711353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2176 PONDEROSA DR SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665720",
"telephone_number": "816-551-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2176 PONDEROSA DR SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665720",
"telephone_number": "816-551-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINA",
"first_name": "MARY",
"middle_name": "WAIRIMU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-24",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61115572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.