Individual provider Active NPI

Pascal Thuram Habiyaremye, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1457042913
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP223694 Issued in AZ
Practice address
11801 NE 65TH St Ste a&B
Vancouver, WA 98662-5527
Phone
(360) 558-5790
Fax
(360) 558-5791
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70069887 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP223694 AZ Primary

Addresses

Primary practice location

11801 NE 65TH St Ste a&B
Vancouver, WA 98662-5527

Mailing address

4105 W Saint Charles Ave
Phoenix, AZ 85041-4980
Phone (602) 410-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260306000851 WA Practitioner - Nurse Practitioner 0648752758 Reassigns benefits to 1 organization
I20260616002932 AZ Practitioner - Nurse Practitioner 0648752758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31405 18TH Ave S
Federal Way, WA 98003-5433

3425 E Grant Rd
Suite 205
Tucson, AZ 85716-2840

4105 W Saint Charles Ave
Phoenix, AZ 85041-4980

PO Box
Seattle, WA 98124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNP223694AZMDPsychiatric/Mental Health Nurse Practitioner
AP70069887WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Integrated LLC CurrentSince Mar 1, 2026 Accepting new patients
Hope Valley Recovery Center CurrentSince Jun 4, 2023 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jan 14, 2026 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jan 14, 2026 Accepting new patients

Locations

2828 N Central Ave
#1100C
Phoenix, AZ 85004
Phone (602) 410-0159

3425 E Grant Rd
Ste 205
Tucson, AZ 85716

11801 NE 65th St
Ste Ab
Vancouver, WA 98662
Phone (360) 558-5790

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

14508 NE 20th Ave
Ste 102
Vancouver, WA 98686
Phone (360) 574-9730

Organizations & group practices 5

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1457042913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 W SAINT CHARLES AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414980",
            "telephone_number": "602-410-0159",
            "fax_number": "360-558-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 NE 65TH ST STE A&B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625527",
            "telephone_number": "360-558-5790",
            "fax_number": "360-558-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIYAREMYE",
        "first_name": "PASCAL",
        "middle_name": "THURAM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70069887",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP223694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.