Active NPI
Anna Gitau, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1497412555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP70091197
- Practice address
- 2713 East Main Ave Puyallup
Puyallup, WA 98372 - Phone
- (253) 881-1020
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP70091197 | WA | Primary |
Addresses
Primary practice location
2713 East Main Ave Puyallup
Puyallup, WA 98372
Mailing address
2311 Fir CT
Milton, WA 98354-9389
Phone (206) 330-7251
Other practice location 1
2311 Fir Ct
Milton, WA 98354-9389
Phone (206) 330-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP70091197 | Other | WA | WABON |
Other names 1
- N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12923 Emerald Ridge Blvd E
Puyallup, WA 98374-8403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP70091197 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mikkadesh Mental Healthcare LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Puyallup, WA
- NPI 1063120020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1497412555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 FIR CT",
"city": "MILTON",
"state": "WA",
"postal_code": "983549389",
"telephone_number": "206-330-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 EAST MAIN AVE PUYALLUP",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98372",
"telephone_number": "253-881-1020"
}
],
"practiceLocations": [
{
"address_1": "2311 Fir Ct",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "WA",
"postal_code": "983549389",
"country_code": "US",
"telephone_number": "206-330-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GITAU",
"first_name": "ANNA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP70091197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WABON",
"identifier": "AP70091197",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.