Mary Suzanne Urban, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN60672938 Issued in WA

Practice address

4555 NE 66TH Ave
Vancouver, WA 98661-3181

Phone

(360) 314-6000

Fax

(360) 828-1723

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609437060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W MAIN ST",
            "address_2": "STE 107, #314",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044232",
            "telephone_number": "360-314-6000",
            "fax_number": "360-828-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 NE 66TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613181",
            "telephone_number": "360-314-6000",
            "fax_number": "360-828-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN60672938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary@divinehomehc.com",
            "affiliation": "Y",
            "endpointDescription": "Business email address",
            "affiliationName": "Divine Home Health Care INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messaging, reception of documentation",
            "address_1": "4555 NE 66th Ave",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986613181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina Sofia Upham, M.D.
• Patricia Marie Upshaw, CDP
• Uptown Providers PC
• Uptown Providers PC
• Uptown Providers PC
• Shannon Kristine Urban, ARNP
• Steven Jeffrey Urbick
• Urgent Chiropractic
• Urgent Dental Care LLC
• Urgent Medical Center PS

• Home Health Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.