NPIMap

Individual provider Active NPI

Rebecca Sue Malone, ANP

  • Family Nurse Practitioner
  • Haines, AK
National Provider Identifier
1841481983
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
381 Issued in AK
Practice address
131 1St Avenue South
Haines, AK 99827-1549
Phone
(907) 766-6300
Fax
(907) 766-3643
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 381 AK Primary
Registered Nurse 163W00000X 22171 AK

Addresses

Primary practice location

131 1St Avenue South
Haines, AK 99827-1549

Mailing address

131 1St Avenue South
Haines, AK 99827-1549
Phone (907) 766-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208002902 TX Practitioner - Nurse Practitioner 9830378066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Alaska Regional Health Consortium 373 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

131 1St S St
Searchc Haines Medical Clinic
Haines, AK 99827-0389
Phone (907) 766-2521

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

37 Chilkat Ave
Klukwan Health Center
Klukwan, AK 99827-0690
Phone (907) 767-5699

Hospital & facility affiliations

  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314
  • Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22171AKMDRegistered Nurse
1545AKMDPharmacist
381AKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 4, 2015 Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Oct 4, 2015 Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

2000 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-8700

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

209 Moller Ave
Ste 100
Sitka, AK 99835
Phone (907) 747-1771

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • Direct secure messaging: rmalone@direct-searhc.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1841481983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 1ST AVENUE SOUTH",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998271549",
            "telephone_number": "907-766-6300",
            "fax_number": "907-766-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 1ST AVENUE SOUTH",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998271549",
            "telephone_number": "907-766-6300",
            "fax_number": "907-766-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "381",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "22171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines, AK

Sources for this page

Verify at the official NPI Registry.