NPIMap

Organization Active NPI

Avian Adult Family Home B

  • Registered Nurse
  • Lakewood, WA
National Provider Identifier
1649888033
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
AVIAN ADULT FAMILY HOME B
Practice address
7217 91St Avenue CT SW
Lakewood, WA 98498-7100
Phone
(253) 341-8755
Fax
(253) 301-1642
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Rose Ndiritu, REGISTERED NURSENPI 1609492701
Title
Provider
Phone
(253) 341-8755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

7217 91St Avenue CT SW
Lakewood, WA 98498-7100

Mailing address

7217 91St Avenue CT SW
Lakewood, WA 98498-7100
Phone (253) 341-8755

Other practice location 1

422 122nd St S
Tacoma, WA 98444-3618
Phone (253) 341-8755

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2260054Avian Adult Family Home B LLC7217 91St Avenue CT SW, Lakewood, WA 98498Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Avian Adult Family Home B3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1649888033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 91ST AVENUE CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984987100",
            "telephone_number": "253-341-8755",
            "fax_number": "253-301-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 91ST AVENUE CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984987100",
            "telephone_number": "253-341-8755",
            "fax_number": "253-301-1642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 122nd St S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984443618",
            "country_code": "US",
            "telephone_number": "253-341-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVIAN ADULT FAMILY HOME B",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "NDIRITU",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-341-8755",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.