Nelly Wanjiru Bamash, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60720788 Issued in WA

Practice address

9500 Front St S Ste 100
Lakewood, WA 98499-9415

Phone

(253) 584-3996

Fax

(253) 589-1071

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Wanjiru Bamash Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WCHS Inc

  • Methadone Clinic
  • Lakewood, WA
  • NPI 1811039027
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1487130779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 FRONT ST S STE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999415",
            "telephone_number": "253-584-3996",
            "fax_number": "253-589-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 FRONT ST S STE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999415",
            "telephone_number": "253-584-3996",
            "fax_number": "253-589-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMASH",
        "first_name": "NELLY",
        "middle_name": "WANJIRU",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60720788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "LP60720788",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCY",
            "last_name": "BAMASH",
            "middle_name": "WANJIRU",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebekah Juanita Baldwin, HS
• Sabrina Balisky
• Cathrie Ann Ball, LMFT
• Angela Ballensky
• Stephen Baltz
• Rosa Banks
• Linda Ellen Banry, R.N.
• Lisa Barabe
• Emily Ann Barahal, LBA, BCBA
• Chelsea Maria Baratti, AA

• Licensed Practical Nurse in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.