Sossna Mekbib

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

604048302 Issued in WA

Practice address

8923 NE 104TH St
Vancouver, WA 98662-1439

Phone

(503) 453-0227

Fax

(360) 952-8081

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1598532848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 NE 104TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621439",
            "telephone_number": "503-453-0227",
            "fax_number": "368-952-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 NE 104TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621439",
            "telephone_number": "503-453-0227",
            "fax_number": "360-952-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKBIB",
        "first_name": "SOSSNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "604048302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Meinel, MOTR L
• Jeffery C Meiners, DO
• Jerrod Ray Meireis, CDPT
• Elaine S Meis, RN60385098
• Kevin Meitz
• Katelyn Marie Melara
• Meagan Melcher
• Chloe Marie Melchor
• Terry L Meldorf, RC CPC
• Mark Anthony Melear

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.