Stephen Onyambu, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00057467 Issued in WA

Practice address

11629 Avondale Rd NE
Redmond, WA 98052-2201

Phone

(425) 653-5070

NPI assigned

Dec 21, 2015

Sex

Male

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

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.

• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1508221300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 GRANT AVE S APT 4",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553656",
            "telephone_number": "253-266-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11629 AVONDALE RD NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522201",
            "telephone_number": "425-653-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYAMBU",
        "first_name": "STEPHEN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00057467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Olason, LMFT
• Samuel S Olmstead, DPT
• Ee Hoon Ong, ARNP
• Stephen L. Ong, D.D.S.
• Onsite Wellness Group
• Optimum Peak Wellness Professional Limited Liability Company
• Optix Eyewear, Inc
• Yesenia T Ortega, BDC.BD.70076913
• Jacob Ortiz
• Pauline Osborne, RN

• Licensed Practical Nurse in Redmond, WA
• Providers in Redmond, 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 Dec 21, 2015; 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.