Individual provider Active NPI

Paul Njoroge, RN

  • Registered Nurse
  • Federal Way, WA
National Provider Identifier
1669857074
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60154883 Issued in WA
Practice address
2211 S Star Lake Rd
Apt 17-105
Federal Way, WA 98003-3406
Phone
(253) 250-6921
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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 RN60154883 WA Primary

Addresses

Primary practice location

2211 S Star Lake Rd
Apt 17-105
Federal Way, WA 98003-3406

Mailing address

2211 S Star Lake Rd
Apt 17-105
Federal Way, WA 98003-3406
Phone (253) 250-6921

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60154883WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Gardens Afh LLC 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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1669857074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S STAR LAKE RD",
            "address_2": "APT 17-105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033406",
            "telephone_number": "253-250-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S STAR LAKE RD",
            "address_2": "APT 17-105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033406",
            "telephone_number": "253-250-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOROGE",
        "first_name": "PAUL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60154883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.