Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fonabei Ayongaba

Individual provider Registered Nurse · NPI 1104532944

Fonabei Ayongaba is a Nurse Practitioner in Lacey, Washington. Qualified in 2023, 3 years ago. Practices with Vest Thurston LLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

605 Woodland Square Loop SE
Lacey, WA 98503-1045
Phone: (844) 949-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61475276 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN61094794 (WA)

Record details

NPI number1104532944
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateAugust 16, 2023
Mailing address325 W Gowe St, Kent, WA 98032-5892

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vest Thurston Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lacey