Individual provider Active NPI

Rachael Minton, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Vancouver, WA
National Provider Identifier
1922632140
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN60628545 Issued in WA
Practice address
6221 NE Fourth Plain Blvd Ste a
Vancouver, WA 98661-7206
Phone
(360) 989-3743
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN60628545 WA Primary

Addresses

Primary practice location

6221 NE Fourth Plain Blvd Ste a
Vancouver, WA 98661-7206

Mailing address

718 NW 86TH St
Vancouver, WA 98665-7742
Phone (360) 921-0226

Other names 1

  • Rachael Matasci Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60628545WAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1922632140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 NW 86TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657742",
            "telephone_number": "360-921-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 NE FOURTH PLAIN BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617206",
            "telephone_number": "360-989-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "RACHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "RN60628545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MATASCI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.