Active NPI
Alisha Naomi Morar, FNP
- Family Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1346742954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61280332
- Practice address
- 6000 NE 88TH St Ste D102
Vancouver, WA 98665-0982 - Phone
- (360) 474-5904
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 201801089RN | OR | |
| Family Nurse Practitioner | 363LF0000X | AP61280332 | WA | Primary |
Addresses
Primary practice location
6000 NE 88TH St Ste D102
Vancouver, WA 98665-0982
Mailing address
6000 NE 88TH St Ste D102
Vancouver, WA 98665-0982
Phone (971) 570-7021
Other practice location 1
4101 NE Division St
Gresham, OR 97030-4617
Phone (503) 666-6575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP61280332 | Other | WA | WASHINGTON STATE ARNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 21, 2022 through Dec 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201801089RN | OR | MD | Addiction (Substance Use Disorder) Registered Nurse |
| AP61280332 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Family Medicine, PLLC | Current | Accepting new patients |
Locations
6000 NE 88th St
Ste D102
Vancouver, WA 98665
Phone (360) 474-5904
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Vancouver, WA
- NPI 1023834439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1346742954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 NE 88TH ST STE D102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986650982",
"telephone_number": "971-570-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 NE 88TH ST STE D102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986650982",
"telephone_number": "360-474-5904"
}
],
"practiceLocations": [
{
"address_1": "4101 NE Division St",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970304617",
"country_code": "US",
"telephone_number": "503-666-6575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAR",
"first_name": "ALISHA",
"middle_name": "NAOMI",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "201801089RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61280332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE ARNP LICENSE",
"identifier": "AP61280332",
"state": "WA"
}
],
"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 Jun 17, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.