Individual provider Active NPI

Rose Ndua, LICENSED NURSE

  • Licensed Practical Nurse
  • Seattle, WA
National Provider Identifier
1497224307
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP60645770 Issued in WA
Practice address
10344 14TH Ave S
Seattle, WA 98168-1689
Phone
(206) 245-1086
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP60645770 WA Primary

Addresses

Primary practice location

10344 14TH Ave S
Seattle, WA 98168-1689

Mailing address

11404 105TH Ave SW Apt B7
Lakewood, WA 98498-6834
Phone (253) 844-5750

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
LP60645770WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1497224307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 105TH AVE SW APT B7",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986834",
            "telephone_number": "253-844-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10344 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981681689",
            "telephone_number": "206-245-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUA",
        "first_name": "ROSE",
        "credential": "LICENSED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60645770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.