Individual provider Active NPI

Joseph Waruinge

  • Registered Nurse
  • Kent, WA
National Provider Identifier
1770901241
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61063140 Issued in WA
Practice address
11043 SE 270TH St
Kent, WA 98030-7211
Phone
(206) 913-1778
Fax
(253) 883-4071
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP00059842 WA
Registered Nurse 163W00000X RN61063140 WA Primary

Addresses

Primary practice location

11043 SE 270TH St
Kent, WA 98030-7211

Mailing address

2501 Skyway Lane
A Serene Place LLC
Auburn, WA 98002-2735
Phone (206) 913-1778

Other practice location 1

111043 SE 270th ST
kent, WA 98030
Phone (206) 913-1778

Other practice location 2

505 29th St SE
sound mental health
Auburn, WA 98002-7541
Phone (253) 876-7650

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
RN61063140WAMDRegistered Nurse
LP00059842WAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Serene Place LLC Current Accepting new patients
Sound Past Accepting new patients
Sound Past Accepting new patients

Organizations & group practices 3

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1770901241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SKYWAY LANE",
            "address_2": "A SERENE PLACE LLC",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980022735",
            "telephone_number": "206-913-1778",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11043 SE 270TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307211",
            "telephone_number": "206-913-1778",
            "fax_number": "253-883-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111043 SE 270th ST",
            "address_purpose": "LOCATION",
            "city": "kent",
            "state": "WA",
            "postal_code": "98030",
            "country_code": "US",
            "telephone_number": "206-913-1778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 29th St SE",
            "address_2": "sound mental health",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980027541",
            "country_code": "US",
            "telephone_number": "253-876-7650",
            "fax_number": "253-876-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARUINGE",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00059842",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61063140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.