Gabriel Kagua Ndungu, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60712665 Issued in WA

Practice address

407 Valley Ave NE
Puyallup, WA 98372-2504

Phone

(301) 693-9540

Fax

(253) 703-7222

NPI assigned

Jul 21, 2020

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

Practice roles

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.

• Oasis of Tender Care LLC

  • Adult Care Home Facility
  • Spanaway, WA
  • NPI 1639804057
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1982212353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 VALLEY AVE NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983722504",
            "telephone_number": "301-693-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 VALLEY AVE NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983722504",
            "telephone_number": "301-693-9540",
            "fax_number": "253-703-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUNGU",
        "first_name": "GABRIEL",
        "middle_name": "KAGUA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60712665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navian Mobility LLC
• Igor Nazarov, MD
• Winfred Nderitu
• James Ndungu Nduati
• Martha Nyokabi Ndung'U
• Janet P Neal, D. C. , C.C.E.P.
• Thomas E Necela, DC
• Julie L Neff, RPH
• Jacqueline Marie Neiswinger
• Anne Katheryn Nelson, LMT

• Registered Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.