Individual provider Active NPI

Dominic Kenyanya Keya, NP

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1851858641
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61451476 Issued in WA
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

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003391 WA Practitioner - Nurse Practitioner 7911367206 Reassigns benefits to 5 organizations

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 Home health agency, Mountlake Terrace, WA, CCN 507099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for South Sound Health CurrentSince Nov 6, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Jun 25, 2023 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
F&M Healthcare, LLC CurrentSince Nov 15, 2023 Accepting new patients
Aryyn PLLC Family CurrentSince Dec 30, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.