Individual provider Active NPI

Adrien Mulawka, CNP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1376089425
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60961257 Issued in WA
Practice address
1401 E Trent Ave # 200
Spokane, WA 99202-2902
Phone
(509) 747-3147
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R66600 NM
Primary Care Nurse Practitioner 363LP2300X CNP-03152 NM
Nurse Practitioner 363L00000X AP60961257 WA Primary

Addresses

Primary practice location

1401 E Trent Ave # 200
Spokane, WA 99202-2902

Mailing address

1401 E Trent Ave # 200
Spokane, WA 99202-2902

Other names 1

  • Adrien Reyes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amulawka1174980@wm.providencedirect.org Spokane Urology PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R66600NMMDRegistered Nurse
AP60961257WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Urology PLLC CurrentSince Nov 1, 2019 Accepting new patients
Spokane Urology PLLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

1401 E Trent Ave
#200
Spokane, WA 99202
Phone (509) 747-3147

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376089425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULAWKA",
        "first_name": "ADRIEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R66600",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP-03152",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60961257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amulawka1174980@wm.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "Spokane Urology PLLC",
            "address_1": "1401 E Trent Ave # 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992022902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIEN",
            "last_name": "REYES",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.