Individual provider Active NPI

Alice Njoroge, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1992569271
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61536378 Issued in WA
Practice address
3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Phone
(520) 251-7547
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61536378 WA Primary

Addresses

Primary practice location

3436 Mary Elder Rd NE
Olympia, WA 98506-5050

Mailing address

45138 W Sandhill Rd
Maricopa, AZ 85139-9102
Phone (520) 251-7547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240620003950 WA Practitioner - Nurse Practitioner 0840733606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Integrated Health LLCGroup PAC ID 9638444631, 5 clinicians

Practice addresses (Care Compare)

3640 S Cedar St
Suite M
Tacoma, WA 98409-5700
Phone (253) 478-0827

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Washington, Inc CurrentSince Nov 1, 2024 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
Telecare Mental Health Services of Washington Inc CurrentSince Nov 1, 2024 Accepting new patients
Sound Integrated Health LLC CurrentSince May 1, 2024 Accepting new patients
Adult Inpatient Medical Services,PLLC Past Accepting new patients
Telecare Mental Health Services of Washington Inc Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

3436 Mary Elder Rd NE
Olympia, WA 98506
Phone (360) 528-2590

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

3640 S Cedar St
Ste M
Tacoma, WA 98409
Phone (253) 426-8666

Organizations & group practices 6

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1992569271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45138 W SANDHILL RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399102",
            "telephone_number": "520-251-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 MARY ELDER RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065050",
            "telephone_number": "520-251-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOROGE",
        "first_name": "ALICE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61536378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.