Iman Warsame Bot, PROVIDER RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60028954 Issued in WA

Practice address

7328 202ND St SW
Lynnwood, WA 98036-5820

Phone

(425) 640-3758

Fax

(425) 678-8391

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baraka-Bless Adult Family Home LLC

  • Registered Nurse
  • Lynnwood, WA
  • NPI 1144964933
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1346984465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 S HOLLY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981083785",
            "telephone_number": "425-458-4767",
            "fax_number": "425-678-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 202ND ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365820",
            "telephone_number": "425-640-3758",
            "fax_number": "425-678-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOT",
        "first_name": "IMAN",
        "middle_name": "WARSAME",
        "credential": "PROVIDER RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60028954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendal Ilyse Borison, BCAT, RBT
• David Burton Bork, MD
• Roz R. Bornstein, LICSW, MSW
• Julie Ann Borovik, MA, LMFT
• Ingrid Borrero
• Gini Bouche
• Elizabeth Boudreaux
• Boulom Chiropractic PS Inc
• Jeudi Taing Boulom, DC
• Sky Boulom, DC

• Registered Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.