Active NPI
Adrien Mulawka, CNP
- Nurse Practitioner
- Spokane, WA
National Provider Identifier
1376089425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60961257
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R66600 | NM | MD | Registered Nurse |
| AP60961257 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Urology PLLC | Current | Accepting new patients | |
| Spokane Urology PLLC | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Spokane Valley, WA
- NPI 1538870134
-
- Urology Physician
- Spokane, WA
- NPI 1912015439
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.