Healthcare Provider Details

I. General information

NPI: 1902710619
Provider Name (Legal Business Name): UHAI HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 112TH ST S
PARKLAND WA
98444-5720
US

IV. Provider business mailing address

10900 NE 4TH ST STE 2300
BELLEVUE WA
98004-5882
US

V. Phone/Fax

Practice location:
  • Phone: 310-920-8258
  • Fax:
Mailing address:
  • Phone: 310-920-8258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: BERNADETTE KIMEMIA
Title or Position: OWNER
Credential:
Phone: 310-920-8258