BONTU GUDETA KENTIBA ARNP
NPI 1902640105
Nurse Practitioner - Adult Health in Lacey, WA

NPI Status: Active since June 21, 2024

Contact Information

605 WOODLAND SQUARE LOOP SE
LACEY, WA
ZIP 98503
Phone: (360) 764-8000

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  • Individual
  • Nurse Practitioner
  • Adult Health

About BONTU KENTIBA

This page provides the complete NPI Profile along with additional information for Bontu Kentiba, a provider established in Lacey, Washington operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1902640105 assigned on June 2024. The practitioner's primary taxonomy code is 363LA2200X with license number AP70057059 (WA). The provider is registered as an individual and their NPI record was last updated one year ago.

NPI
1902640105
Provider Name
BONTU GUDETA KENTIBA ARNP
Gender
Entity Type
Individual
Location Address
605 WOODLAND SQUARE LOOP SE LACEY, WA 98503
Location Phone
(360) 764-8000
Mailing Address
4410 GALLAGHER WAY NW OLYMPIA, WA 98502
Is Sole Proprietor?
Yes
Enumeration Date
06-21-2024
Last Update Date
10-19-2025
Code Navigator

A nurse practitioner (NP) like Bontu Kentiba is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP70057059
License State
WA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902640105, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 2 + 4 + 0 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1902640105.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Family Medicine
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Behavior Analyst
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Psychiatry & Neurology (Psychiatry)
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Psychiatric Hospital
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Psychiatric Hospital
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Psychiatric/Mental Health)
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Psychiatric/Mental Health)
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Psychiatric/Mental Health)
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Psychiatric/Mental Health)
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902640105, enumerated as an "individual" on June 21, 2024.

The provider is located at 605 WOODLAND SQUARE LOOP SE LACEY, WA 98503 and the phone number is (360) 764-8000.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.