Carolyne Nderitu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60500714 Issued in WA

Practice address

10202 Pacific Ave S Ste 210
Tacoma, WA 98444-6573

Phone

(253) 228-2737

NPI assigned

Jan 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Hearts United Homecare Staffing Inc

  • In Home Supportive Care Agency
  • Tacoma, WA
  • NPI 1326896739
  NPD Authorized official

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1609340660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44181",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984480181",
            "telephone_number": "253-228-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 PACIFIC AVE S STE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446573",
            "telephone_number": "253-228-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDERITU",
        "first_name": "CAROLYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201810289LPN",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60500714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racquel Lomboy Navarro, CNA
• Navis Clinical Laboratories, Inc
• Nawanit PLLC
• Liesl Nayeli
• William Naylor, MSW
• Robert Kiama Ndirangu
• Janet Ndlovu
• Caroline Nduta Nduati
• Annastasia Ndungu
• Victoria Ndungu

• Licensed Practical Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; 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.