Individual provider Active NPI

Ruth Mueni Wambua

  • Family Nurse Practitioner
  • Centralia, WA
National Provider Identifier
1558056622
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN276613 Issued in GA
Practice address
2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone
(360) 330-9044
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X AP70030741 WA
Family Nurse Practitioner 363LF0000X RN276613 GA Primary

Addresses

Primary practice location

2428 W Reynolds Ave
Centralia, WA 98531-4554

Mailing address

2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (360) 330-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250305002175 GA Practitioner - Nurse Practitioner 2668812744 Reassigns benefits to 1 organization
I20251124003663 WA Practitioner - Nurse Practitioner 2668812744 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians
Cascade Community HealthcareGroup PAC ID 5496641177, 14 clinicians
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

19803 1St Ave S
Suite 200
Normandy Park, WA 98148-2410
Phone (480) 712-8319

2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (360) 330-9044

8224 Latona Ave NE
Seattl, WA 98115-4055
Phone (310) 382-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP70030741WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Cascade Community Healthcare CurrentSince Oct 20, 2025 Accepting new patients
Eney Solutions LLC Family Current Accepting new patients
Sharwin Tafazoli Inc CurrentSince Jan 1, 2026 Accepting new patients
Cascade Community Healthcare CurrentSince Oct 20, 2025 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

2428 W Reynolds Ave
Centralia, WA 98531

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Interoperability endpoints

  • Direct secure messaging: rwambua4122908@wm.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1558056622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 W REYNOLDS AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314554",
            "telephone_number": "360-330-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 W REYNOLDS AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314554",
            "telephone_number": "360-330-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBUA",
        "first_name": "RUTH",
        "middle_name": "MUENI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "AP70030741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN276613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.