Illyne Mutusva

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

759335 Issued in WA

Practice address

1631 Gault St
Sumner, WA 98390-1238

Phone

(253) 447-8100

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1831093301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 GAULT ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901238",
            "telephone_number": "253-447-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 GAULT ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901238",
            "telephone_number": "253-447-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTUSVA",
        "first_name": "ILLYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "WA",
            "license": "759335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Ruth Muirhead, PSYD
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• Nghi Que Ngo, FNP-C
• Mindy Nichols, R.D., C.D.E.
• Nicholsons Sumner Pharmacy Inc (Sumner Pharmacy)
• Christopher John Nielsen, D.M.D

• Attendant Care Provider in Sumner, WA
• Providers in Sumner, WA by specialty
• Attendant Care Provider in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.