Individual provider Active NPI

Cosmos Texan Buendasi, DNP-FNP

  • Nurse Practitioner
  • Renton, WA
National Provider Identifier
1306794441
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP70111670 Issued in WA
Practice address
16200 116TH Ave SE
Renton, WA 98058-5200
Phone
(425) 400-1899
Fax
(425) 663-8000
NPI assigned
Mar 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61066506 WA
Nurse Practitioner 363L00000X AP70111670 WA Primary

Addresses

Primary practice location

16200 116TH Ave SE
Renton, WA 98058-5200

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

955 Powell Ave SW
Renton, WA 98057-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN61066506WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1306794441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 116TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585200",
            "telephone_number": "425-400-1899",
            "fax_number": "425-663-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENDASI",
        "first_name": "COSMOS",
        "middle_name": "TEXAN",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61066506",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70111670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.