Individual provider Active NPI

Moses Mwaura

  • Registered Nurse
  • Auburn, WA
National Provider Identifier
1619520046
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
60670844 Issued in WA
Practice address
11232 SE 315TH CT
Auburn, WA 98092-5390
Phone
(626) 200-6603
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 60670844 WA Primary

Addresses

Primary practice location

11232 SE 315TH CT
Auburn, WA 98092-5390

Mailing address

11232 SE 315TH CT
Auburn, WA 98092-5390
Phone (626) 200-6603

Other practice location 1

11232 SE 315th Ct
Auburn, WA 98092-5390
Phone (626) 200-6603

Other practice location 2

11232 SE 315th Ct
Auburn, WA 98092-5390
Phone (626) 200-6603

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
60670844WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baseline Delegation LLC Registered Nurse CurrentSince Jul 28, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1619520046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11232 SE 315TH CT",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980925390",
            "telephone_number": "626-200-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 SE 315TH CT",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980925390",
            "telephone_number": "626-200-6603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11232 SE 315th Ct",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980925390",
            "country_code": "US",
            "telephone_number": "626-200-6603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11232 SE 315th Ct",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980925390",
            "country_code": "US",
            "telephone_number": "626-200-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MWAURA",
        "first_name": "MOSES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60670844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.