NPIMap

Organization Active NPI

Aryyn PLLC

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1740042662
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ARYYN PLLC
Practice address
510 E Main
Puyallup, WA 98372-5698
Phone
(253) 325-1121
Fax
(800) 807-9176
NPI assigned
Jan 25, 2024
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dominic K Keya, NPNPI 1851858641
Title
Administrator
Phone
(253) 325-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

510 E Main
Puyallup, WA 98372-5698

Mailing address

7613 185TH Street CT E
Puyallup, WA 98375-9051
Phone (253) 325-1121

Other practice location 1

510 E Main
Puyallup, WA 98372-5698
Phone (253) 325-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301003878 WA Part B Supplier - Clinic/Group Practice 0547605305 Receives reassigned benefits from 3 practitioners
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Locations

4423 Point Fosdick Dr
#2083
Gig Harbor, WA 98335

510 E Main
Puyallup, WA 98372
Phone (253) 325-1121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1740042662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 185TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759051",
            "telephone_number": "253-325-1121",
            "fax_number": "800-807-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725698",
            "telephone_number": "253-325-1121",
            "fax_number": "800-807-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Main",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983725698",
            "country_code": "US",
            "telephone_number": "253-325-1121",
            "fax_number": "800-807-9176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARYYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "KEYA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-325-1121",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.