Individual provider Active NPI

Justus Maina

  • Registered Nurse
  • Tacoma, WA
National Provider Identifier
1366278046
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61188001 Issued in WA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 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

LicenseStateTypeSpecialty
RN61188001WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.