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

Samuel Mugo

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1386287340

Samuel Mugo is a Nurse Practitioner in Seattle, Washington. Qualified in 2022, 4 years ago. Practices with Vest Thurston LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2600 SW Holden St
Seattle, WA 98126-3505
Phone: (206) 933-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61393845 (WA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN60044386 (WA)

Record details

NPI number1386287340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2019
Last updated in NPPESFebruary 25, 2024
Certification dateFebruary 25, 2024
Mailing address11536 129th St E, Puyallup, WA 98374-3145

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 Vest Thurston Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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