Muiruri George Wamae

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Practice address

220 Riverside Ave Unit 633
Jacksonville, FL 32202-4962

Phone

(404) 667-3582

NPI assigned

Dec 5, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1518678192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE AVE UNIT 633",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024962",
            "telephone_number": "404-667-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE AVE UNIT 633",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024962",
            "telephone_number": "404-667-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMAE",
        "first_name": "MUIRURI",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INSURANCE",
            "identifier": "107085532",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwamae36@hotmail.com",
            "affiliation": "N",
            "address_1": "220 Riverside Ave Unit 633",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322024962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Je'Laune Walton, PHARM.D., RPH
• Lawrence Walton
• Monique Walton
• Ramonda Walton
• Robert Scott Walton, PH.D.
• Herbert Wan, PHARMD
• Kara Beth Wanchick, M.D.
• Wang Acupuncture Clinic
• Amin Wang, DO
• Benjamin Wang, MD

• Assisted Living Facility (Behavioral Disturbances) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Behavioral Disturbances) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.