Organization Active NPI

Noble Care LLC

  • Adult Health Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1558087759
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
NOBLE CARE LLC
Practice address
31821 34TH PL SW
Federal Way, WA 98023-2235
Phone
(678) 707-3234
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Irene Kamau, ARNPNPI 1770198400
Title
Ceo
Phone
(678) 707-3234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Primary Care Clinic/Center 261QP2300X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

31821 34TH PL SW
Federal Way, WA 98023-2235

Mailing address

31821 34TH PL SW
Federal Way, WA 98023-2235
Phone (678) 707-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227001648 WA Part B Supplier - Clinic/Group Practice 9638549132 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1558087759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31821 34TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232235",
            "telephone_number": "678-707-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31821 34TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232235",
            "telephone_number": "678-707-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-707-3234",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.