Gaudencia Wanza Mbithe

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

HM60756193 Issued in WA

Practice address

1615 75TH St SW Ste 210
Everett, WA 98203-6293

Phone

(408) 863-1705

NPI assigned

Jun 11, 2024

Sex

Female

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1962244897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E 38TH ST APT 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 75TH ST SW STE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036293",
            "telephone_number": "408-863-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBITHE",
        "first_name": "GAUDENCIA",
        "middle_name": "WANZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "HM60756193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Mazurek, LICSW
• Joseph Primo Mazzoncini Jr., M.D.
• Sheilah Mburu Mbatai, RND
• Aisha Warda Mbecah
• MBHC LLC
• MC Endodontics (Mill Creek Endodontics & Microsurgery)
• Shannon Marie McAfee, CNA
• Sean Morgan McAllister
• Teri McAllister
• Kim McAndrews

• Nurse's Aide in Everett, WA
• Providers in Everett, 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 Jun 11, 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.

Verify at the official NPI Registry.