Active NPI
Kara Mae Gaul, RN
- Home Health Registered Nurse
- Vancouver, WA
National Provider Identifier
1417789173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN61288111
- Practice address
- 2621 NE 134TH St
Vancouver, WA 98686-3036 - Phone
- (360) 504-0122
- Fax
- (360) 859-1354
- NPI assigned
- Aug 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN61288111 | WA | Primary |
Addresses
Primary practice location
2621 NE 134TH St
Vancouver, WA 98686-3036
Mailing address
721 7TH St
Vader, WA 98593-9707
Phone (360) 270-7432
Other practice location 1
1700 Hudson St Ste 105
Longview, WA 98632-2931
Phone (360) 270-7432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61288111 | WA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Home Health of Clark County, LLC | Past | Accepting new patients |
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.
-
dba Eden Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1538778295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1417789173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 7TH ST",
"city": "VADER",
"state": "WA",
"postal_code": "985939707",
"telephone_number": "360-270-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 NE 134TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863036",
"telephone_number": "360-504-0122",
"fax_number": "360-859-1354"
}
],
"practiceLocations": [
{
"address_1": "1700 Hudson St Ste 105",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322931",
"country_code": "US",
"telephone_number": "360-270-7432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUL",
"first_name": "KARA",
"middle_name": "MAE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WA",
"license": "RN61288111",
"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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.