Individual provider Active NPI

Kevin Joseph Wanjohi

  • Adult Companion
  • Federal Way, WA
National Provider Identifier
1457994741
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
402 S 333Rd St Ste 104
Federal Way, WA 98003-7099
Phone
(206) 428-8435
Fax
(206) 374-3026
NPI assigned
Oct 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X WA
Home Health Aide 374U00000X WA
Nurse's Aide 376K00000X WA
Adult Companion 372600000X WA Primary

Addresses

Primary practice location

402 S 333Rd St Ste 104
Federal Way, WA 98003-7099

Mailing address

402 S 333Rd St Ste 104
Federal Way, WA 98003-7099
Phone (206) 428-8435

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

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1457994741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037099",
            "telephone_number": "206-428-8435",
            "fax_number": "206-374-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037099",
            "telephone_number": "206-428-8435",
            "fax_number": "206-374-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJOHI",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "WA",
            "license": null,
            "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 Oct 19, 2019; 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.