Serenemind Solutions LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERENEMIND SOLUTIONS LLC

Practice address

33530 1St Way S Ste 102
Federal Way, WA 98003-7332

Phone

(206) 915-6166

Fax

(206) 673-8050

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Miriam Bagalwa, ARNPNPI 1144812009

Title

Owner

Phone

(206) 915-6166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Neema Bagalwa, NP

  • Adult Health Nurse Practitioner
  • Federal Way, WA
  • NPI 1144812009
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1528822863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 MAIN ST E UNIT 104",
            "address_2": "PMB 231",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902689",
            "telephone_number": "253-648-0340",
            "fax_number": "206-673-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33530 1ST WAY S STE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037332",
            "telephone_number": "206-915-6166",
            "fax_number": "206-673-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENEMIND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BAGALWA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-915-6166",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Seo
• Young J. Seo
• Young Joon Seo, D.C.
• Aimee M Seppi, PT
• Breanna Elizabeth Serdahl
• Nimulrith Seth
• Sabeena Setia, M.D.
• Seungbum Lee, DMD, MSD, PLLC
• Tigist Emiru Seyoum, AG ACNP
• Nicole Sgrignari

• Internal Medicine Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.