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Jackson Simosi Nyarangi

Technician, Other β€’ Seattle, WA

Active NPI 1265212419 Individual Practitioner Male Practitioner
Practice location in NPPES

1116 Summit Ave
Seattle, WA 981012831

Call 2063230930 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1116 Summit Ave

Seattle, WA 981012831

Telephone 2063230930
Organization at the Same NPPES Address or Phone
Therapeutic Health Services Facility NPI 1467544171

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Seattle and Washington

55 active clinicians are listed under Technician, Other with a practice address in Seattle, WA (228 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0% of these 55 clinicians have the CMS telehealth indicator.

0% of these 55 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-11
Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Home Health Aide

NUCC Taxonomy Code: 374U00000X

License # reported to NPPES WA 60905751

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Michael Kennedy , PhD, ARNP

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1023491743

Doctor of Philosophy (Ph.D.), Advanced Registered Nurse Practitioner

Dr. Sarote Limpanyaloet , DNP, ARNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1669924361

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 11, 2023

Registered at 1116 SUMMIT AVE, SEATTLE, WA 981012831 (Tel: 2063230930)

πŸ“
Updated Business Mailing Address October 11, 2023

Registered at 1116 SUMMIT AVE, SEATTLE, WA 981012831 (Tel: 2063230930)

βœ…
NPI Profile Active October 04, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2023

Registered at 14500 ADMIRALTY WAY APT M308, LYNNWOOD, WA 980875845 (Tel: 2063848917)

πŸ“
Business Mailing Address (Initial Record) October 04, 2023

Registered at 14500 ADMIRALTY WAY APT M308, LYNNWOOD, WA 980875845 (Tel: 2063848917)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2023

Recorded as JACKSON NYARANGI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Home Health Aide (license number reported to NPPES: WA 60905751)

🟒
Initial NPI Registration & Enumeration October 04, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265212419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2023
Last Update: October 11, 2023
Sole Proprietor: Yes

Mailing Address

1116 Summit Ave

Seattle, WA 981012831

Phone: 2063230930

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.