GKM Holding Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GKM HOLDING INC

Practice address

1603 W Belt Ave
Ste 125
Spokane, WA 99205

Phone

(509) 808-2835

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Geoffrey Mwangi, APRNNPI 1407190606

Title

Owner

Phone

(509) 808-2835

Specialties & licenses 1

Addresses

Other names 1

• Asante Health Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geoffrey Mwangi, DNP

  • Primary Care Nurse Practitioner
  • Spokane, WA
  • NPI 1407190606

  WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1619705381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10518 N ALBERTA RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084483",
            "telephone_number": "509-808-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 W BELT AVE",
            "address_2": "STE 125",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-808-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKM HOLDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-808-2835",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asante Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gianni Giuliani, ARNP
• Debra Marie Giuttari-Andersen, ARNP
• John D Givens, CRNA
• Jadesola Jolaoluwa Soresa Giwa, DDS
• Bethany Gizinski
• Bennett Gladden, MD
• Peter Glanville, PA-C
• Paul Conrad Glanzer, LMP
• Michaela Glasgow
• Lisa Marie Glaspey, SUDPT

• All providers in Spokane, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.