Active NPI
Emmanuel Ndubuisi Nwabude
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1861944993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61055877
- Practice address
- 2105 112TH Ave NE Ste 201
Bellevue, WA 98004-2945 - Phone
- (844) 336-6463
- NPI assigned
- Oct 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61055877 | WA | Primary |
Addresses
Primary practice location
2105 112TH Ave NE Ste 201
Bellevue, WA 98004-2945
Mailing address
2105 112TH Ave NE Ste 201
Bellevue, WA 98004-2945
Phone (844) 336-6463
Other names 1
- None None None
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP132370 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1861944993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 112TH AVE NE STE 201",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042945",
"telephone_number": "844-336-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 112TH AVE NE STE 201",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042945",
"telephone_number": "844-336-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWABUDE",
"first_name": "EMMANUEL",
"middle_name": "NDUBUISI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61055877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NONE",
"last_name": "NONE",
"middle_name": "NONE",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.