Active NPI
Addis Worede
- Registered Nurse
- Marysville, WA
National Provider Identifier
1891525523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61164733
- Practice address
- 8008 62ND St NE
Marysville, WA 98270-8910 - Phone
- (206) 883-9838
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61164733 | WA | Primary |
Addresses
Primary practice location
8008 62ND St NE
Marysville, WA 98270-8910
Mailing address
8008 62ND St NE
Marysville, WA 98270-8910
Phone (206) 883-9838
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN61164733 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryyon Afh LLC | Registered Nurse | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1891525523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 62ND ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982708910",
"telephone_number": "206-883-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 62ND ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982708910",
"telephone_number": "206-883-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOREDE",
"first_name": "ADDIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61164733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.