Individual provider Active NPI

Men Ok Ziyu, RN

  • Registered Nurse
  • Brush Prairie, WA
National Provider Identifier
1780088278
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60158003 Issued in WA
Practice address
22502 NE 139TH St
Brush Prairie, WA 98606-9409
Phone
(360) 784-0914
Fax
(360) 828-8337
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 RN60158003 WA Primary

Addresses

Primary practice location

22502 NE 139TH St
Brush Prairie, WA 98606-9409

Mailing address

22502 NE 139TH St
Brush Prairie, WA 98606-9409
Phone (360) 784-0914

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
RN60158003WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1780088278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22502 NE 139TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069409",
            "telephone_number": "360-784-0914",
            "fax_number": "360-828-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22502 NE 139TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069409",
            "telephone_number": "360-784-0914",
            "fax_number": "360-828-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIYU",
        "first_name": "MEN OK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60158003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush Prairie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.