Active NPI
Mary Louise Hart, ARNP
- Family Nurse Practitioner
- Taholah, WA
National Provider Identifier
1851563860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30004102
- Practice address
- 1505 Kla-Ook-Wa Dr
Taholah, WA 98587 - Phone
- (360) 276-4405
- Fax
- (360) 276-4474
- NPI assigned
- Mar 31, 2008
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30004102 | WA | Primary |
Addresses
Primary practice location
1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Mailing address
1505 Kla-Oook-Wa Dr
Taholah, WA 98587
Phone (360) 276-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP30004102 | Other | WA | WA LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004102 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851563860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 KLA-OOOK-WA DR",
"city": "TAHOLAH",
"state": "WA",
"postal_code": "98587",
"telephone_number": "360-276-4405",
"fax_number": "360-276-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 KLA-OOK-WA DR",
"city": "TAHOLAH",
"state": "WA",
"postal_code": "98587",
"telephone_number": "360-276-4405",
"fax_number": "360-276-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "MARY",
"middle_name": "LOUISE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30004102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LICENSE",
"identifier": "AP30004102",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taholah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.