Individual provider Active NPI

Rose Ndiritu, REGISTERED NURSE

  • Registered Nurse
  • Lakewood, WA
National Provider Identifier
1609492701
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60105094 Issued in WA
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

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN60105094WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Avian Adult Family Home B Registered Nurse Past Accepting new patients
Avian Adult Family Home B Registered Nurse PastSince Aug 2, 2020 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.

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.

Verify at the official NPI Registry.