Individual provider Active NPI

Mukami Jedidah Kingori

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1619847480
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN500020663 Issued in DC
Practice address
1420 K St NW Ste 1000
Washington, DC 20005-2508
Phone
(202) 545-6980
Fax
(877) 839-6747
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN500020663 DC Primary

Addresses

Primary practice location

1420 K St NW Ste 1000
Washington, DC 20005-2508

Mailing address

1420 K St NW Ste 1000
Washington, DC 20005-2508
Phone (202) 545-6980

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
LPN500020663DCMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1619847480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 K ST NW STE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052508",
            "telephone_number": "202-545-6980",
            "fax_number": "877-839-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 K ST NW STE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052508",
            "telephone_number": "202-545-6980",
            "fax_number": "877-839-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGORI",
        "first_name": "MUKAMI",
        "middle_name": "JEDIDAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN500020663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.