Active NPI
Justus Maina
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1366278046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61188001
- Practice address
- 5401 S Tacoma Way
Tacoma, WA 98409-4312 - Phone
- (206) 460-2763
- Fax
- (253) 301-1009
- NPI assigned
- Sep 10, 2024
- Last updated
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61188001 | WA | Primary |
Addresses
Primary practice location
5401 S Tacoma Way
Tacoma, WA 98409-4312
Mailing address
5401 S Tacoma Way
Tacoma, WA 98409-4312
Phone (206) 460-2763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61188001 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons in Home Health | Registered Nurse | Current | Accepting new patients |
| Carnelian Afh | Current | Accepting new patients | |
| Bethany Solutions LLC | Current | Accepting new patients |
Locations
5401 South Tacoma Way
Tacoma, WA 98409
Phone (206) 460-2763
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Care Home Facility
- Olympia, WA
- NPI 1902737901
-
- Adult Care Home Facility
- Lacey, WA
- NPI 1508797929
-
dba Horizons In Home Care
- Home Health Agency
- Tacoma, WA
- NPI 1457182008
Registered Nurse
-
- Nursing Care Agency
- Olympia, WA
- NPI 1639092273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1366278046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 S TACOMA WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984094312",
"telephone_number": "206-460-2763",
"fax_number": "253-301-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S TACOMA WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984094312",
"telephone_number": "206-460-2763",
"fax_number": "253-301-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINA",
"first_name": "JUSTUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61188001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.