Individual provider Active NPI

Nawo Koffi Fiamo, ARNP

  • Adult Health Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1659660892
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60214610 Issued in WA
Practice address
210 S 11TH Ave Ste 44
Yakima, WA 98902-3269
Phone
(206) 491-0123
Fax
(509) 895-7344
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60214610 WA Primary

Addresses

Primary practice location

210 S 11TH Ave Ste 44
Yakima, WA 98902-3269

Mailing address

210 S 11TH Ave Ste 44
Yakima, WA 98902-3269
Phone (206) 491-0123

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
AP60214610WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fiamo Health Services LLC Adult Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1659660892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 11TH AVE STE 44",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023269",
            "telephone_number": "206-491-0123",
            "fax_number": "509-895-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 11TH AVE STE 44",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023269",
            "telephone_number": "206-491-0123",
            "fax_number": "509-895-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIAMO",
        "first_name": "NAWO",
        "middle_name": "KOFFI",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60214610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.