Individual provider Active NPI

Alisha Naomi Morar, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1346742954
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61280332 Issued in WA
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

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP61280332OtherWAWASHINGTON 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
201801089RNORMDAddiction (Substance Use Disorder) Registered Nurse
AP61280332WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Family Medicine, PLLC CurrentSince Dec 8, 2024 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.

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

Verify at the official NPI Registry.