Alante Primary Care O LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALANTE PRIMARY CARE O LLC

Practice address

1220 20TH St SE Ste 310
Salem, OR 97302-2400

Phone

(480) 631-4978

Fax

(844) 443-4378

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Jacob Schaefer

Title

Cfo

Phone

(503) 201-8356

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline M Devaney, FNP

  • Family Nurse Practitioner
  • Hillsboro, OR
  • NPI 1790370096
  Medicare reassignment NPD
• Jessica Ann Cassady, FNP-BC

  • Family Nurse Practitioner
  • Lacey, WA
  • NPI 1811326242

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1003623224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 20TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021798",
            "telephone_number": "480-631-4978",
            "fax_number": "844-443-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 20TH ST SE STE 310",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022400",
            "telephone_number": "480-631-4978",
            "fax_number": "844-443-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALANTE PRIMARY CARE O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-201-8356"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane-Frances Ifeoma Akpamgbo, MD
• Murphy Alafoginis
• Anya Heather Alagoz
• Noor Alani, PA
• Alante Health - Oregon LLC
• Ted Alas
• Larisa Alba Gaspar
• Christina Diane Alba, MPT CHT
• Albany Assisted Living LLC
• Connie Jo Albee, CHW

• Primary Care Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.