Individual provider Active NPI

Elsabet Endeshaw Debela

  • Registered Nurse
  • Burien, WA
National Provider Identifier
1609672906
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61356303 Issued in WA
Practice address
17431 Ambaum Blvd S Unit C3
Burien, WA 98148-1733
Phone
(206) 697-7689
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 RN61356303 WA Primary

Addresses

Primary practice location

17431 Ambaum Blvd S Unit C3
Burien, WA 98148-1733

Mailing address

17431 Ambaum Blvd S Unit C3
Burien, WA 98148-1733
Phone (206) 697-7689

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
RN61356303WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1609672906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17431 AMBAUM BLVD S UNIT C3",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481733",
            "telephone_number": "206-697-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17431 AMBAUM BLVD S UNIT C3",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481733",
            "telephone_number": "206-697-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELA",
        "first_name": "ELSABET",
        "middle_name": "ENDESHAW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61356303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.