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Active NPI 1225808108 Individual Practitioner Female Practitioner

Jedidah Wangoi Maina

Licensed Practical Nurse • Fife, WA

Professional Overview & Biography Verified Profile Summary

Jedidah Maina is a registered healthcare professional specializing in Licensed Practical Nurse in Fife, WA. Practice services are available at 2909 DALE LN E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2909 Dale Ln E

Fife, WA 984242305

Telephone 2063192945
Fax 2535178476

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fife, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Fife, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP61644177

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Licensed Practical Nurse (License #LP61644177 in WA)

NPI Profile Active January 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2024

Registered at 2909 DALE LN E, FIFE, WA 984242305 (Tel: 2063192945)

📍
Updated Business Mailing Address January 03, 2024

Registered at 2909 DALE LN E, FIFE, WA 984242305 (Tel: 2063192945)

👤
Provider Name / Credentials Updated January 03, 2024

Recorded as JEDIDAH MAINA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Nurse's Aide (License #6081956 in WA)

🟢
Initial NPI Registration & Enumeration January 03, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225808108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2024
Last Update: February 18, 2026
Sole Proprietor: Yes

Mailing Address

2909 Dale Ln E

Fife, WA 984242305

Phone: 2063192945

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.