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

Gregory Imafidon, ARNP

Individual provider Nurse Practitioner · NPI 1811486228

Gregory Imafidon, ARNP is a Nurse Practitioner in Kent, Washington. Qualified in 2017, 9 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
9
Licensed in
TX, WA
In the registry since
2018
Specialties on file
4
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

521 2nd Pl N Ste 11-103
Kent, WA 98032-4537
Phone: (425) 690-3491
Fax: (425) 690-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 — (830) 374-2301
  • 4945 Las Lomas Dr, Mesquite, TX 75150-3180 — (469) 434-9784

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61288019 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP137759 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F04180510 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61288019 (WA)

Record details

NPI number1811486228
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address521 2nd Pl N Ste 11-103, Kent, WA 98032-4537

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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