Active NPI
Shalomel E Jatau
- Student in an Organized Health Care Education/Training Program
- Puyallup, WA
National Provider Identifier
1720999402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 402 15TH Ave SE
Puyallup, WA 98372-3709 - Phone
- (253) 697-5200
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | Primary |
Addresses
Primary practice location
402 15TH Ave SE
Puyallup, WA 98372-3709
Mailing address
5306 Lake Washington Blvd NE Apt a
Kirkland, WA 98033-7346
Phone (859) 687-4263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html | Health Information Exchange (HIE) | Mary Bridge Children's Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1720999402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5306 LAKE WASHINGTON BLVD NE APT A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337346",
"telephone_number": "859-687-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 15TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723709",
"telephone_number": "253-697-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATAU",
"first_name": "SHALOMEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Mary Bridge Children's Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "402 15th Ave SE",
"city": "Puyallup",
"state": "WA",
"country_code": "US",
"postal_code": "983723709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.