Individual provider Active NPI

Paul Kariuki, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1912675554
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1049285 Issued in TX
Practice address
1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone
(318) 545-7246
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61222075 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405451 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1049285 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 264681 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0003596-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G165199 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202110667NP-PP OR

Addresses

Primary practice location

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Mailing address

6333 E Mockingbird LN Ste 147
Dallas, TX 75214-2672
Phone (318) 545-7246

Other practice location 1

2700 Walker Way
DeSoto, TX 75115-2088
Phone (972) 298-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, AZ, TX, NY, CO6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20220418000710 WA Practitioner - Nurse Practitioner 4284021478 Reassigns benefits to 2 organizations
I20220915002046 OR Practitioner - Nurse Practitioner 4284021478 Reassigns benefits to 1 organization
I20221104001675 AZ Practitioner - Nurse Practitioner 4284021478 Reassigns benefits to 1 organization
I20221123002825 TX Practitioner - Nurse Practitioner 4284021478 Reassigns benefits to 2 organizations
I20231229001140 NY Practitioner - Nurse Practitioner 4284021478 Reassigns benefits to 1 organization
I20241114001047 CO Practitioner - Nurse Practitioner 4284021478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians
Valera Medical PAGroup PAC ID 6406238310, 8 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (646) 450-7748

1709 Cattail Creek Dr
Desoto, TX 75115-1720
Phone (646) 450-7748

205 SE Spokane St
Suite 300
Portland, OR 97202-6487
Phone (646) 450-7748

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 445-8120

4600 E Washington St
Suite 300
Phoenix, AZ 85034-1908
Phone (646) 450-7748

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (646) 450-7748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264681AZMDPsychiatric/Mental Health Nurse Practitioner
G165199IAMDPsychiatric/Mental Health Nurse Practitioner
405451NYMDPsychiatric/Mental Health Nurse Practitioner
1049285TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Nurse Practitioner CurrentSince May 17, 2022 Accepting new patients
Apex Behavioral Health Services PLLC Current Accepting new patients
Multicare Health System CurrentSince May 17, 2022 Accepting new patients
Brightside Medical, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Feb 15, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

6333 E Mockingbird Ln
Ste 147
Dallas, TX 75214
Phone (469) 867-6899

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 7

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1912675554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 147",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142672",
            "telephone_number": "318-545-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "318-545-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Walker Way",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152088",
            "country_code": "US",
            "telephone_number": "972-298-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIUKI",
        "first_name": "PAUL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61222075",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405451",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1049285",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "264681",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0003596-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G165199",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202110667NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.