Shukri Milgo Ibrahim

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

756394 Issued in WA

Practice address

2402 SW 317TH St
Federal Way, WA 98023-2202

Phone

(206) 504-4125

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1861228975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 SW 317TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232202",
            "telephone_number": "206-504-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 SW 317TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232202",
            "telephone_number": "206-504-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SHUKRI",
        "middle_name": "MILGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "756394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chela Yamara Hutchison, RN
• Jillian Bartlett Hutton
• Crystal Jin Hwang, RDH
• Richard H Hwynn, DDS
• Hyun S. Park DDS, PS
• Margaret Kokumo Igbekoyi
• Timothy J Igielski, D.C.
• Kainat Ikram
• Mohsin Ikram
• Amaris Ilar

• Adult Care Home Facility in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.