Active NPI
Betelhem B Menkir, RN
- Registered Nurse
- Auburn, WA
National Provider Identifier
1376354472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61356006
- Practice address
- 31625 51St Ave S
Auburn, WA 98001-3810 - Phone
- (206) 496-5334
- Fax
- (253) 939-6927
- NPI assigned
- Jan 17, 2025
- Last updated
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN61356006 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Senior Home LLC | Registered Nurse | Current | 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, 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": "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.