Individual provider Active NPI

Rachel Malof

  • Family Nurse Practitioner
  • Maple Valley, WA
National Provider Identifier
1114420734
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017021148 Issued in HI
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

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180412000045 WA Practitioner - Nurse Practitioner 4587927132 Reassigns benefits to 2 organizations
I20251231001214 OR Practitioner - Nurse Practitioner 4587927132
I20260106003387 ID Practitioner - Nurse Practitioner 4587927132 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017021148HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savoy Life Medical Group PC CurrentSince Oct 27, 2025 Accepting new patients
Bastion Health PC Family CurrentSince Feb 12, 2020 Accepting new patients
Daiya Healthcare PLLC PastSince Oct 27, 2025 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

  • Direct secure messaging: rmalof77341@direct.tecmc.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.