LIA GEDAMU NP
NPI 1982052684
Nurse Practitioner in Everett, WA

Q: What is Lia Gedamu's NPI number?

The NPI number for Lia Gedamu is 1982052684. It was assigned to this individual provider in the NPPES registry on June 3, 2016. The provider is also known as Tarikwa Gedamu.

Q: What is Lia Gedamu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lia Gedamu was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment

3927 RUCKER AVE, EVERETT, WA 98201(425) 339-5421 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2026, Nov 24, 2025 (2 updates tracked since 2025).

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About Lia Gedamu Np NPPES

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

LIA GEDAMU NP (NPI 1982052684) is an individual nurse practitioner in Everett, Washington, licensed in Washington (AP70054264) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Encino, and is a graduate of California University Of Science And Medicine (2025).

NPPES Registry Identity

NPI1982052684

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLIA GEDAMUCredential: NP

Location Address3927 RUCKER AVEEverett, WA 98201-4833

Mailing AddressPo Box 5127Everett, WA 98206-5127 · (206) 860-5414

Phone(425) 339-5421

Sole ProprietorNo

Medical School CMSCalifornia University Of Science And MedicineGraduated 2025

Enumeration DateJune 3, 2016

Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1982052684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WA · AP70054264✔ Licensed in CA · 95003319

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3927 RUCKER AVE, Everett, WA 98201

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Other Names 1

Professional Name (2)Tarikwa Gedamu

Secondary Practice Location 1

Location 116260 Ventura Blvd, LL-15Encino, CA 91436-2203 · Phone (818) 905-1567

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lia Gedamu Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507256575

PECOS Enrollment IDI20251204003405

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services31 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

RAYNALD H IM M.D.

Family Medicine