Mehreen Maryam, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP61365476 Issued in WA

Practice address

33228 43Rd PL S
Federal Way, WA 98001-5145

Phone

(253) 217-9041

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mso Washington IncGroup PAC ID 1850292681, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
• Haven Home Health Care Home health agency, Federal Way, WA, CCN 507132
• Wesley Homes at Home, LLC Home health agency, Des Moines, WA, CCN 507092
• Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
• Providence at Home With Compassus Hospice Care, Puget Sound Hospice, Tukwila, WA, CCN 501515
• Evergreen Health Hospice Care Hospice, Kirkland, WA, CCN 501523

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mehreen.maryam@589522414665732.direct.elationemr.com

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.

• Mso Washington, Inc.

  dba The Home Doctor

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1891116109
  Medicare reassignment Care Compare group NPD
• Mso Illinois LLC

  dba The HOME DOCTOR

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1568209880
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CP Seattle Wa Hospice, LLC

  dba Providence at Home with Compassus Hospice Care, Puget Sound

  • Community Based Hospice Care Agency
  • Tukwila, WA
  • NPI 1174345193
  Care Compare affiliation
• Home Health Seattle LLC

  dba Choice Health at Home

  • Home Health Agency
  • Federal Way, WA
  • NPI 1033736160
  Care Compare affiliation
• King County Public Hospital District No. 2

  dba EvergreenHealth Hospice Care

  • Community Based Hospice Care Agency
  • Kirkland, WA
  • NPI 1285719609
  Care Compare affiliation
• King County Public Hospital District No. 2

  dba EvergreenHealth Home Care

  • Home Health Agency
  • Kirkland, WA
  • NPI 1588662761
  Care Compare affiliation
• LHCG Lxiii, LLC

  dba Assured Home Health

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1770998528
  Care Compare affiliation
• Wesley Homes at Home, LLC

  • Home Health Agency
  • Seattle, WA
  • NPI 1740312479
  Care Compare affiliation

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1467178319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33228 43RD PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980015145",
            "telephone_number": "253-217-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33228 43RD PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980015145",
            "telephone_number": "253-217-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYAM",
        "first_name": "MEHREEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61365476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Rae Martinez, CDP
• Jeri Martinez
• Karla Martinez
• Kevin Martinez
• Tracie Martinez
• Michelle Mask
• Heidy Mason, PTA, LMP
• Robert Mason, RN
• Massage for Health and Day Spa, Inc
• Massage for Health, PLLC

• Adult Health Nurse Practitioner in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.