Haron E Mulamba, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002383 Issued in WA

Practice address

817 E Plum St
Moses Lake, WA 98837-1870

Phone

(509) 256-1111

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Haron Mulamba Elkanah Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1205081056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 W LAKESIDE DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372733",
            "telephone_number": "509-766-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E PLUM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371870",
            "telephone_number": "509-256-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULAMBA",
        "first_name": "HARON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARON",
            "last_name": "ELKANAH",
            "middle_name": "MULAMBA",
            "prefix": "MR.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Moses Lake School District
• Moses Lake Sports Physical Therapy, PS
• Harold Scott Mounts, ARNP
• Zackery Muck
• Pegi Mueller, BA
• Bethany Mulder, DO
• Jamie Lea Mullenix
• Virginia Muniz-Gaytan, RN
• Nina Nacacia Murray, LMP
• Ben T Murrell, PA-C

• Occupational Therapist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.