Active NPI
Theophille Gahongayire
- Licensed Practical Nurse
- Tacoma, WA
National Provider Identifier
1619880671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 70147772
- Practice address
- 1415 E 72ND St
Tacoma, WA 98404-3344 - Phone
- (253) 319-8399
- NPI assigned
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 70147772 | WA | Primary |
Addresses
Primary practice location
1415 E 72ND St
Tacoma, WA 98404-3344
Mailing address
8520 25TH St W Apt 101
University Place, WA 98466-8282
Phone (575) 621-6357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1619880671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8520 25TH ST W APT 101",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984668282",
"telephone_number": "575-621-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E 72ND ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984043344",
"telephone_number": "253-319-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAHONGAYIRE",
"first_name": "THEOPHILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "70147772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.