Individual provider Active NPI

Maryann Mumbi Gathu, RN

  • Registered Nurse
  • Maple Valley, WA
National Provider Identifier
1336771377
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60467689 Issued in WA
Practice address
21525 SE 254TH PL
Maple Valley, WA 98038-7516
Phone
(206) 856-6109
Fax
(206) 260-3432
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60467689 WA Primary

Addresses

Primary practice location

21525 SE 254TH PL
Maple Valley, WA 98038-7516

Mailing address

21525 SE 254TH PL
Maple Valley, WA 98038-7516
Phone (206) 856-6109

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
RN60467689WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1336771377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21525 SE 254TH PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387516",
            "telephone_number": "206-856-6109",
            "fax_number": "206-260-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21525 SE 254TH PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387516",
            "telephone_number": "206-856-6109",
            "fax_number": "206-260-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHU",
        "first_name": "MARYANN",
        "middle_name": "MUMBI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60467689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.