Individual provider Active NPI

Hirut A Libneh

  • Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1871467639
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61324882 Issued in WA
Practice address
15414 35TH Ave W Unit 27
Lynnwood, WA 98087-5031
Phone
(425) 984-9070
NPI assigned
Oct 3, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61324882 WA Primary

Addresses

Primary practice location

15414 35TH Ave W Unit 27
Lynnwood, WA 98087-5031

Mailing address

15414 35TH Ave W Unit 27
Lynnwood, WA 98087-5031
Phone (425) 984-9070

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN61324882WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1871467639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15414 35TH AVE W UNIT 27",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875031",
            "telephone_number": "425-984-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15414 35TH AVE W UNIT 27",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875031",
            "telephone_number": "425-984-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBNEH",
        "first_name": "HIRUT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61324882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.