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

Samuel Moses, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366170375

Samuel Moses, NURSEPRACTITIONER is a Nurse Practitioner in Federal Way, Washington. Qualified in 2022, 4 years ago. Practices with Sea Mar Community Health Centers, a 236-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022

Practice location Address checks out

31405 18th Ave S
Federal Way, WA 98003-5433
Phone: (253) 681-6640
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 AP61335567 (WA)

Record details

NPI number1366170375
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address31405 18th Ave S, Federal Way, WA 98003-5433

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sea Mar Community Health Centers — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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