Individual provider Active NPI

Felegehiwot Atkilt Woldetsadik, REGISTERED NURSE

  • Registered Nurse
  • Renton, WA
National Provider Identifier
1659104560
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
61096687 Issued in WA
Practice address
13041 SE 184TH PL
Renton, WA 98058-7915
Phone
(702) 832-9599
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 61096687 WA Primary

Addresses

Primary practice location

13041 SE 184TH PL
Renton, WA 98058-7915

Mailing address

13041 SE 184TH PL
Renton, WA 98058-7915
Phone (702) 832-9599

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
61096687WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Holistic Care Registered Nurse CurrentSince Sep 23, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1659104560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 SE 184TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587915",
            "telephone_number": "702-832-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 SE 184TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587915",
            "telephone_number": "702-832-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDETSADIK",
        "first_name": "FELEGEHIWOT",
        "middle_name": "ATKILT",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "61096687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.