Individual provider Active NPI

Samuel Wairegi Gathura

  • Home Health Agency
  • Lacey, WA
National Provider Identifier
1659164184
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
757244 Issued in WA
Practice address
5105 25TH Ave SE
Lacey, WA 98503-3354
Phone
(206) 308-9681
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 757244 WA Primary

Addresses

Primary practice location

5105 25TH Ave SE
Lacey, WA 98503-3354

Mailing address

5105 25TH Ave SE
Lacey, WA 98503-3354
Phone (206) 308-9681

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
757244WAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1659164184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 25TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033354",
            "telephone_number": "206-308-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 25TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033354",
            "telephone_number": "206-308-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHURA",
        "first_name": "SAMUEL",
        "middle_name": "WAIREGI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "757244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.