Active NPI
Rachel Malof
- Family Nurse Practitioner
- Maple Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017021148
- Practice address
- 23745 225TH Way SE Ste 201
Maple Valley, WA 98038-5294 - Phone
- (888) 674-5871
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017021148 | HI | Primary |
Addresses
Primary practice location
23745 225TH Way SE Ste 201
Maple Valley, WA 98038-5294
Mailing address
6532 Balcomie CT
Florence, KY 41042-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15211 Flora Springs Way
Caldwell, ID 83607-5691
440 N Barranca Ave
Covina, CA 91723-1722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017021148 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savoy Life Medical Group PC | Current | Accepting new patients | |
| Bastion Health PC | Family | Current | Accepting new patients |
| Daiya Healthcare PLLC | Past | Accepting new patients |
Locations
440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
4080 Hawthorne Rd
Chubbuck, ID 83202
Phone (208) 237-3000
1501 Baldy Ave
Pocatello, ID 83201
Phone (208) 237-6866
6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448
23745 225th Way SE
Ste 201
Maple Valley, WA 98038
Phone (425) 390-9425
1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699
1511 3rd Ave
Ste 714
Seattle, WA 98101
Phone (509) 652-2516
12709 E Mirabeau Pkwy
Ste 3001
Spokane Valley, WA 99216
Phone (509) 402-2093
12709 E Mirabeau Pkwy
Ste 300
Spokane Valley, WA 99216
Phone (469) 405-1577
Interoperability endpoints
- rmalof77341@direct.tecmc.com
- rmalof1559536@ghc.direct-ci.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tukwila, WA
- NPI 1750921193
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1003692732
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1477027381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1114420734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6532 BALCOMIE CT",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410427060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23745 225TH WAY SE STE 201",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980385294",
"telephone_number": "888-674-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOF",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "2017021148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.