Individual provider Active NPI

Tsegereda Kassie Adugna

  • Attendant Care Provider
  • Federal Way, WA
National Provider Identifier
1396617387
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
RN60236336 Issued in WA
Practice address
31408 28TH PL SW
Federal Way, WA 98023-7837
Phone
(206) 335-7736
Fax
(253) 235-5787
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X RN60236336 WA Primary

Addresses

Primary practice location

31408 28TH PL SW
Federal Way, WA 98023-7837

Mailing address

31408 28TH PL SW
Federal Way, WA 98023-7837
Phone (206) 335-7736

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

State licenses

LicenseStateTypeSpecialty
RN60236336WAMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1396617387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31408 28TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237837",
            "telephone_number": "206-335-7736",
            "fax_number": "253-235-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31408 28TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237837",
            "telephone_number": "206-335-7736",
            "fax_number": "253-235-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUGNA",
        "first_name": "TSEGEREDA",
        "middle_name": "KASSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "WA",
            "license": "RN60236336",
            "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 Sep 19, 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.