Maitai Tiumalu

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CG60140983 Issued in WA

Practice address

1210 SW 136TH St
Burien, WA 98166-1214

Phone

(206) 915-7393

NPI assigned

Oct 12, 2018

Last updated

Oct 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1336614635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S 288TH ST TRLR 72",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037936",
            "telephone_number": "206-915-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661214",
            "telephone_number": "206-915-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIUMALU",
        "first_name": "MAITAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60140983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Xavier Thundiyil
• Mujalin Thuntarug, PA-C
• Ladonya S Ticeson
• Meghan M Tierney, MD
• Barbara Ann Timeus, RN
• Dandrell Toaston
• Harry Price Todd III, MA61026929
• Jackie C Toh, MD
• Mark Tolas
• Molly Tollefson

• Case Manager/Care Coordinator in Burien, WA
• Providers in Burien, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.