ST.PHILOMENA AFH LLC
NPI 1104646934
Registered Nurse in Marysville, WA
NPI Status: Active since October 16, 2024
Contact Information
5522 90TH PL NE
MARYSVILLE, WA
ZIP 98270
Phone: (309) 229-4689
Fax: (360) 691-9482
- Organization
- Registered Nurse
- CLIA Number: 50D2316103
- CLIA Cert. Type: Other - AFH
- CLIA Exp. Date: 04-04-2028
About ST.PHILOMENA AFH LLC
This page provides the complete NPI Profile along with additional information for St.philomena Afh Llc, a provider established in Marysville, Washington operating as a Registered Nurse. The healthcare provider is registered in the NPI registry with number 1104646934 assigned on October 2024. The practitioner's primary taxonomy code is 163W00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Esther Mitema (Provider)
- NPI
- 1104646934
- Provider Name
- ST.PHILOMENA AFH LLC
- Entity Type
- Organization
- Location Address
- 5522 90TH PL NE MARYSVILLE, WA 98270
- Location Phone
- (309) 229-4689
- Location Fax
- (360) 691-9482
- Mailing Address
- 5522 90TH PL NE MARYSVILLE, WA 98270
- Mailing Phone
- (309) 229-4689
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2024
- Last Update Date
- 03-19-2025
- Code Navigator
A registered nurse (RN) like St.philomena Afh Llc coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse
- Taxonomy Code
- 163W00000X
- Type
- Nursing Service Providers
- Taxonomy Description
- (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2316103
- Facility Type
- Other - AFH
- Certificate Effective Date
- December 27, 2024
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ESTHER MITEMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St.philomena Afh Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 6 | 4 | 6 | 9 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 12 | 4 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 2 + 4 + 1 + 2 + 9 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1104646934 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063103034 | ESTHER GILES MITEMA RN Individual | Registered Nurse | 5522 90TH PL NE MARYSVILLE, WA 98270 (309) 229-4689 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104646934, enumerated in the NPI registry as an "organization" on October 16, 2024
The provider is located at 5522 90th Pl Ne Marysville, Wa 98270 and the phone number is (309) 229-4689
This medical organization specializes in Registered Nurse with taxonomy code 163W00000X
The provider's CLIA number is 50D2316103 for a "other - afh" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 16, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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