Sisay Faynato

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61572832 Issued in WA

Practice address

4610 200TH St SW Ste J
Lynnwood, WA 98036-6606

Phone

(425) 263-6341

Fax

(425) 678-8457

NPI assigned

Aug 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• New Era Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
  • NPI 1073198602
  Medicare reassignment NPD
• Light of Hope Behavioral Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seatac, WA
  • NPI 1760357859
  NPD Authorized official
• Principal Health Clinic LLC

  • Primary Care Nurse Practitioner
  • Bonney Lake, WA
  • NPI 1932910684

  Psychiatric/Mental Health

  NPD
• Unique Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
  • NPI 1881399723
  NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1679303564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW STE J",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-263-6341",
            "fax_number": "425-678-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW STE J",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-263-6341",
            "fax_number": "425-678-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYNATO",
        "first_name": "SISAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61572832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N Farage, MS, CCC-SLP, CBIS
• Fouzia Hashi Farah
• Ashley M Farrar
• Faseela Therapy, PLLC
• Erin-Mae Faulconer
• Rahim Ahmad Fazli, PHARM D
• Laura Elizabeth Fears
• Sabrina B Fein
• Susan Kaye Felber, D.C.
• Quintarvis Felder, LPN

• Psychiatric/Mental Health Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.