Individual provider Active NPI

Mahala Howard, REGISTERED NURSE

  • Rehabilitation Registered Nurse
  • Vancouver, WA
National Provider Identifier
1033888615
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
RN60658407 Issued in WA
Practice address
7700 NE Parkway Dr Ste 300
Vancouver, WA 98662-6654
Phone
(801) 540-9140
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X RN60658407 WA Primary

Addresses

Primary practice location

7700 NE Parkway Dr Ste 300
Vancouver, WA 98662-6654

Mailing address

1009 NE 95TH Ave
Vancouver, WA 98664-3162
Phone (801) 540-9140

Other identifiers 3

IdentifierTypeStateIssuer
RN60658407OtherWAWASHINGTON BOARD OF NURSING
201604005RNOtherOROREGON BOARD OF NURSING
839604OtherNVNEVADA BOARD OF NURSING

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address haley.howard@prestigecare.com Health Information Exchange (HIE)
CONNECT URL haley.howard@prestigecare.com Health Information Exchange (HIE) Prestigecare Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60658407WAMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1033888615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NE 95TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643162",
            "telephone_number": "801-540-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626654",
            "telephone_number": "801-540-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MAHALA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "WA",
            "license": "RN60658407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON BOARD  OF NURSING",
            "identifier": "RN60658407",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF NURSING",
            "identifier": "201604005RN",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF NURSING",
            "identifier": "839604",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haley.howard@prestigecare.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Vancouver",
            "address_1": "7700 NE Parkway Dr Ste 300",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986626654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "haley.howard@prestigecare.com",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "Prestigecare Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work",
            "address_1": "7700 NE Parkway Dr Ste 300",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986626654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.