NABATANZI AGNES BEWAYO M.D.
NPI 1861576761
Family Medicine in Federal Way, WA

Active since October 25, 2006
402 S 333RD ST STE 105, FEDERAL WAY, WA 98003(971) 251-5788 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Mar 17, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Nabatanzi Agnes Bewayo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NABATANZI AGNES BEWAYO M.D. (NPI 1861576761) is an individual family medicine provider in Federal Way, Washington, licensed in Washington (MD60752475) and active in the NPI registry since October 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861576761
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNABATANZI AGNES BEWAYOCredential: M.D.
Location Address402 S 333RD ST STE 105Federal Way, WA 98003-7099
Mailing AddressPo Box 58608Renton, WA 98058-1608 · (404) 558-3404
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 2, 20203 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1861576761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD60752475 Licensed in GA · 047964
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
402 S 333RD ST STE 105, Federal Way, WA 98003

Secondary Practice Locations 2

Location 1930 Franklin Springs St, Ste ARoyston, GA 30662-3908 · Phone (706) 245-5050
Location 224920 104th Ave SEKent, WA 98030-6443 · Phone (253) 395-2000 · Fax (253) 395-1956

Other Identifiers 1

Medicaid2080457WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
402 S 333RD ST STE 105
FEDERAL WAY, WA 98003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nabatanzi Bewayo's NPI number?

The NPI number for Nabatanzi Bewayo is 1861576761. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Nabatanzi Bewayo located?

Nabatanzi Bewayo practices at 402 S 333rd St Ste 105, Federal Way, WA 98003. The listed phone number is (971) 251-5788.

What is Nabatanzi Bewayo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nabatanzi Bewayo was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.