Active NPI
Rose Ndiritu, REGISTERED NURSE
- Registered Nurse
- Lakewood, WA
National Provider Identifier
1609492701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60105094
- Practice address
- 7217 91St Avenue CT SW
Lakewood, WA 98498-7100 - Phone
- (253) 341-8755
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60105094 | WA | Primary |
Addresses
Primary practice location
7217 91St Avenue CT SW
Lakewood, WA 98498-7100
Mailing address
7217 91St Avenue CT SW
Lakewood, WA 98498-7100
Phone (253) 341-8755
Other practice location 1
422 122nd St S
Tacoma, WA 98444-3618
Phone (253) 341-8755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60105094 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avian Adult Family Home B | Registered Nurse | Past | Accepting new patients |
| Avian Adult Family Home B | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Nurse
- Tacoma, WA
- NPI 1225647688
-
- Registered Nurse
- Lakewood, WA
- NPI 1649888033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1609492701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7217 91ST AVENUE CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987100",
"telephone_number": "253-341-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7217 91ST AVENUE CT SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987100",
"telephone_number": "253-341-8755"
}
],
"practiceLocations": [
{
"address_1": "422 122nd St S",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984443618",
"country_code": "US",
"telephone_number": "253-341-8755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDIRITU",
"first_name": "ROSE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60105094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.