Individual provider Active NPI

Nonyerem Rosemary Eneje, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1780980623
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61061936 Issued in WA
Practice address
300 Lenora St # 984
Seattle, WA 98121-2411
Phone
(800) 775-3207
Fax
(206) 653-1033
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61061936 WA Primary
Nurse Practitioner 363L00000X AP61061936 WA
Family Nurse Practitioner 363LF0000X AP61061936 WA

Addresses

Primary practice location

300 Lenora St # 984
Seattle, WA 98121-2411

Mailing address

300 Lenora St # 984
Seattle, WA 98121-2411
Phone (800) 775-3207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110303000833 TN Practitioner - Nurse Practitioner 7012199698 Reassigns benefits to 1 organization
I20200828000864 WA Practitioner - Nurse Practitioner 7012199698 Reassigns benefits to 2 organizations
I20240105003966 OR Practitioner - Nurse Practitioner 7012199698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61061936WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Aug 6, 2020 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Feb 14, 2011 Accepting new patients
Nurturing Minds Wa PLLC Psychiatric/Mental Health PastSince Sep 1, 2023 Accepting new patients

Locations

2788 Murfreesboro Pike
Antioch, TN 37013
Phone 6153672211 ext. 8211

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

3801 Hillsboro Rd
Nashville, TN 37215
Phone (615) 385-0622

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Organizations & group practices 4

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1780980623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LENORA ST # 984",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212411",
            "telephone_number": "800-775-3207",
            "fax_number": "206-653-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LENORA ST # 984",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212411",
            "telephone_number": "800-775-3207",
            "fax_number": "206-653-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEJE",
        "first_name": "NONYEREM",
        "middle_name": "ROSEMARY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61061936",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61061936",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61061936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.