Active NPI
Dominic Kenyanya Keya, NP
- Family Nurse Practitioner
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61451476
- Practice address
- 510 E Main
Puyallup, WA 98372-5698 - Phone
- (253) 325-1121
- Fax
- (800) 807-9176
- NPI assigned
- Feb 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61451476 | WA | Primary |
| Registered Nurse | 163W00000X | RN60797352 | WA |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4423 Point Fosdick Dr
Suite 208 3
Gig Harbor, WA 98335-1797
Phone (253) 325-1121
Hospital & facility affiliations
- Assured Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance for South Sound Health | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| F&M Healthcare, LLC | Current | Accepting new patients | |
| Aryyn PLLC | Family | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
510 E Main
Puyallup, WA 98372
Phone (253) 325-1121
15127 Main St E
Unit 104
Sumner, WA 98390
3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423
Interoperability endpoints
- aryynprimarycareclinic.dominickeya@162024.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Puyallup, WA
- NPI 1740042662
-
- Psychiatric Hospital
- Tacoma, WA
- NPI 1891298980
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Internal Medicine Physician
- University Place, WA
- NPI 1861145120
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1770998528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1851858641",
"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": [],
"basic": {
"last_name": "KEYA",
"first_name": "DOMINIC",
"middle_name": "KENYANYA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-27",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61451476",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60797352",
"primary": false
}
],
"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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.