Individual provider Active NPI

Betelhem B Menkir, RN

  • Registered Nurse
  • Auburn, WA
National Provider Identifier
1376354472
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61356006 Issued in WA
Practice address
31625 51St Ave S
Auburn, WA 98001-3810
Phone
(206) 496-5334
Fax
(253) 939-6927
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 RN61356006 WA Primary

Addresses

Primary practice location

31625 51St Ave S
Auburn, WA 98001-3810

Mailing address

23249 17TH PL S
Des Moines, WA 98198-7571
Phone (206) 496-5334

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61356006WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Senior Home LLC Registered Nurse CurrentSince Jan 19, 2025 Accepting new patients

Organizations & group practices 1

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1376354472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23249 17TH PL S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987571",
            "telephone_number": "206-496-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 51ST AVE S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013810",
            "telephone_number": "206-496-5334",
            "fax_number": "253-939-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKIR",
        "first_name": "BETELHEM",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61356006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.