Ruth Wakarima Martineau

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60790075 Issued in WA

Practice address

2100 S 336TH St
Federal Way, WA 98003-8961

Phone

(508) 615-5272

NPI assigned

Sep 20, 2020

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": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1366058869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4533",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980634533",
            "telephone_number": "508-615-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038961",
            "telephone_number": "508-615-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "RUTH",
        "middle_name": "WAKARIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60790075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Daniel Martin-Hurtado
• Aaron Nicholas Martin
• Grey Val Martin
• Joshua Adam Martin
• Nicole Martin, OTR/L
• Angelica Bejar Martinez, DO
• Gina Rae Martinez, CDP
• Jeri Martinez
• Karla Martinez
• Kevin Martinez

• Licensed Practical Nurse in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.