Individual provider Active NPI

Fakuma Benjamin Sounyo

  • Registered Nurse
  • Federal Way, WA
National Provider Identifier
1386551612
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61302805 Issued in WA
Practice address
31824 32ND PL SW
Federal Way, WA 98023-2234
Phone
(425) 650-4005
NPI assigned
Aug 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 RN61302805 WA Primary

Addresses

Primary practice location

31824 32ND PL SW
Federal Way, WA 98023-2234

Mailing address

11410 NE 122ND Way
Kirkland, WA 98034-6945
Phone (425) 650-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1386551612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 NE 122ND WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346945",
            "telephone_number": "425-650-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31824 32ND PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232234",
            "telephone_number": "425-650-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUNYO",
        "first_name": "FAKUMA",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61302805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.