Individual provider Active NPI

Desire Nzisabira

  • Nurse's Aide
  • Spokane Valley, WA
National Provider Identifier
1639034275
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NC61530601 Issued in WA
Practice address
11308 E Ferret Dr
Spokane Valley, WA 99206-9479
Phone
(682) 234-2866
Fax
(509) 545-4059
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NC61530601 WA Primary

Addresses

Primary practice location

11308 E Ferret Dr
Spokane Valley, WA 99206-9479

Mailing address

11308 E Ferret Dr
Spokane Valley, WA 99206-9479
Phone (682) 234-2866

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
NC61530601WAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1639034275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 E FERRET DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992069479",
            "telephone_number": "682-234-2866",
            "fax_number": "509-545-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11308 E FERRET DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992069479",
            "telephone_number": "682-234-2866",
            "fax_number": "509-545-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZISABIRA",
        "first_name": "DESIRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NC61530601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

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