Individual provider Active NPI

Patricia Snow Aldal

  • Licensed Practical Nurse
  • Eugene, OR
National Provider Identifier
1003122920
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201030307LPN Issued in OR
Practice address
2188 N Danebo Ave
Eugene, OR 97402-1240
Phone
(541) 359-6564
NPI assigned
Aug 30, 2010
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 200812356CNA OR
Licensed Practical Nurse 164W00000X 201030307LPN OR Primary

Addresses

Primary practice location

2188 N Danebo Ave
Eugene, OR 97402-1240

Mailing address

2188 N Danebo Ave
Eugene, OR 97402-1240
Phone (541) 359-6564

Other names 1

  • Patricia Snow Gilbert 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

State licenses

LicenseStateTypeSpecialty
201030307LPNORMDLicensed Practical Nurse
200812356CNAORMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1003122920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 N DANEBO AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974021240",
            "telephone_number": "541-359-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 N DANEBO AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974021240",
            "telephone_number": "541-359-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAL",
        "first_name": "PATRICIA",
        "middle_name": "SNOW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "200812356CNA",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201030307LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GILBERT",
            "middle_name": "SNOW",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.