Active NPI
Felegehiwot Atkilt Woldetsadik, REGISTERED NURSE
- Registered Nurse
- Renton, WA
National Provider Identifier
1659104560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 61096687
- Practice address
- 13041 SE 184TH PL
Renton, WA 98058-7915 - Phone
- (702) 832-9599
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61096687 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Holistic Care | Registered Nurse | Current | 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.