Adama Jeng, RN-BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00173412 Issued in WA

Practice address

252 153Rd PL SE
Bellevue, WA 98007-5237

Phone

(425) 931-7475

NPI assigned

Feb 23, 2023

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

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.

• Bellhome Adult Family Home LLC

  • In Home Supportive Care Agency
  • Bellevue, WA
  • NPI 1073215323
  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1558069062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 153RD PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075237",
            "telephone_number": "425-931-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 153RD PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075237",
            "telephone_number": "425-931-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENG",
        "first_name": "ADAMA",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00173412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRIVER'S LICENSE",
            "identifier": "WDL6PS3CJ43B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gamini Jebanathan
• Jeffrey E Pearce MD
• Breanna Martine Jeffries, MA, MHP, RC
• Julie Jelniker
• Carl H Jelstrup, DC
• Julia Erin Jenkins, LMHCA
• Kierra Jenkins
• Lyn Jenkins
• Micahiah Jenkins
• Whitney Jenkins, PH.D.

• Registered Nurse in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.