Individual provider Active NPI

Nicholas K Kioko, RN61418396

  • Home Health Registered Nurse
  • Everett, WA
National Provider Identifier
1629823869
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN61418396 Issued in WA
Practice address
9702 31St Ave SE
Everett, WA 98208-4309
Phone
(206) 966-0395
Fax
(425) 645-4659
NPI assigned
Apr 22, 2024
Last updated
Aug 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61418396 WA
Home Health Registered Nurse 163WH0200X RN61418396 WA Primary

Addresses

Primary practice location

9702 31St Ave SE
Everett, WA 98208-4309

Mailing address

9702 31St Ave SE
Everett, WA 98208-4309
Phone (206) 966-0395

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
RN61418396WAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1629823869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 31ST AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084309",
            "telephone_number": "206-966-0395",
            "fax_number": "425-645-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 31ST AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084309",
            "telephone_number": "206-966-0395",
            "fax_number": "425-645-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIOKO",
        "first_name": "NICHOLAS",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "RN61418396",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61418396",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN61418396",
            "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 Aug 17, 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.