Individual provider Active NPI

Mekdes K Maile

  • Attendant Care Provider
  • Everett, WA
National Provider Identifier
1609726496
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
60295155 Issued in WA
Practice address
4017 Grand Ave
Everett, WA 98201-4824
Phone
(206) 856-7572
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X 60295155 WA Primary

Addresses

Primary practice location

4017 Grand Ave
Everett, WA 98201-4824

Mailing address

4017 Grand Ave
Everett, WA 98201-4824
Phone (206) 856-7572

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
60295155WAMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1609726496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014824",
            "telephone_number": "206-856-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014824",
            "telephone_number": "206-856-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILE",
        "first_name": "MEKDES",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "WA",
            "license": "60295155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.