Warren Jim Zachary Owili

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NC61493418 Issued in WA

Practice address

3725 Providence Point Dr SE
Issaquah, WA 98029-7219

Phone

(425) 391-2800

NPI assigned

Dec 21, 2023

Sex

Male

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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1932978640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31224 PETE VON REICHBAUER WAY S APT J304",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035610",
            "telephone_number": "218-593-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 PROVIDENCE POINT DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297219",
            "telephone_number": "425-391-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWILI",
        "first_name": "WARREN JIM ZACHARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NC61493418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen B Oskouian, M.D.
• Minka Ostberg
• Trucian Adam Ostheimer, M.D.
• Devon Otero
• Stephanie Caroline Ouellet, RN, ARNP
• Josiah Odhiambo Owinyo, PA-C
• Annelise Amy Pace, MS
• Pacific Counseling and Research Center
• Pacific Northwest Behavioral Health Services, PLLC
• Pacmed Clinics

• Nurse's Aide in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Nurse's Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.