Elisabeth Hayden Holt Makler, WHCNP, ANP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

200550108NP Issued in OR

Practice address

9555 SW Barnes Rd
Suite 100
Portland, OR 97225-6663

Phone

(503) 292-3577

Fax

(503) 292-3947

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Urology, LLC

  • Specialist
  • Portland, OR
  • NPI 1629461397
  NPD (past)
• Planned Parenthood of the Columbia/Willamette, Inc.

  dba Planned Parenthood Columbia Willamette

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1053311860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1033151667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 SW BEVELAND RD",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238692",
            "telephone_number": "503-292-3577",
            "fax_number": "503-292-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256663",
            "telephone_number": "503-292-3577",
            "fax_number": "503-292-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLER",
        "first_name": "ELISABETH",
        "middle_name": "HAYDEN HOLT",
        "name_prefix": "Mrs.",
        "credential": "WHCNP, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200550107NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30007105",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "200550108NP",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30007105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278822",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R186769",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9656042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn Maki, RN
• Tristan Maki, OTR/L
• Jennifer Makinster
• Michael Gordon Makinster, LPC
• Vishal James Makker, M.D
• Cheryl Jenniffer Mako, SLP
• Jeffrey Philip Mako, M.D.
• Malachai Investments LLC (Malachai Laboratories)
• Malachite Medicine LLC
• Kenneth Malam, LMT

• Women's Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Women's Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.