Individual provider Active NPI

Eshetu Ketema Wake, RN/LPN

  • General Practice Registered Nurse
  • Seattle, WA
National Provider Identifier
1306785597
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN61497239 Issued in WA
Practice address
13280 Linden Ave N Apt 521
Seattle, WA 98133-7647
Phone
(206) 880-5159
NPI assigned
Mar 25, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X RN61497239 WA Primary

Addresses

Primary practice location

13280 Linden Ave N Apt 521
Seattle, WA 98133-7647

Mailing address

13280 Linden Ave N Apt 521
Seattle, WA 98133-7647
Phone (206) 880-5159

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61497239WAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1306785597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 LINDEN AVE N APT 521",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337647",
            "telephone_number": "206-880-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 LINDEN AVE N APT 521",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337647",
            "telephone_number": "206-880-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKE",
        "first_name": "ESHETU",
        "middle_name": "KETEMA",
        "name_prefix": "Mr.",
        "credential": "RN/LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN61497239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.