Mary Nicole Ball, RN
Individual provider Active NPI Registered Nurse · Chehalis, WA
NPI 1780141960 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1780141960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN60768943 (WA)
- Practice address
- 500 SE Washington Ave
Chehalis, WA 98532-3058 - Phone
- (509) 232-5766
- NPI assigned
- Feb 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60768943 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Behavioral Health Systems, Inc. | Past | Accepting new patients | |
| American Behavioral Health Systems, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60768943 | WA | Yes |
Addresses
Primary practice location
500 SE Washington Ave
Chehalis, WA 98532-3058
Mailing address
12715 E Mission Ave
Spokane Valley, WA 99216-1027
Phone (509) 232-5766
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077844 | Medicaid | WA |
Other providers in Chehalis, WA
- Ashley Bailey
- Heather Lynn Bailey
- Linda Lee Bailey
- Kelsie R Baker
- Kaleb L Baldwin
- Rita Ballard-Baumgarten
- Kimberly Suzanne Balsemer
- Rainey Celene Banick Wood
- Amanda Bannon
- Sameh Barakat
All providers in Chehalis, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.