Organization Active NPI

Abundance for Mom

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1124984836
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
ABUNDANCE FOR MOM
Practice address
2013 SE 146TH Ave
Vancouver, WA 98683-8428
Phone
(206) 453-8642
Fax
(360) 258-0865
NPI assigned
Dec 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Caroline Maina, RNNPI 1861358574
Title
Provider
Phone
(206) 453-8642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

2013 SE 146TH Ave
Vancouver, WA 98683-8428

Mailing address

2013 SE 146TH Ave
Vancouver, WA 98683-8428
Phone (206) 453-8642

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1124984836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 SE 146TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838428",
            "telephone_number": "206-453-8642",
            "fax_number": "360-258-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 SE 146TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838428",
            "telephone_number": "206-453-8642",
            "fax_number": "360-258-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE FOR MOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-453-8642",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 30, 2025; 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.