Individual provider Active NPI

Noah Frank, THW

  • Peer Specialist
  • Eugene, OR
National Provider Identifier
1003653676
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
THW000111671 Issued in OR
Practice address
1966 Garden Ave
Eugene, OR 97403-1933
Phone
(541) 505-9190
Fax
(541) 505-9264
NPI assigned
Jul 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X THW000111671 OR Primary

Addresses

Primary practice location

1966 Garden Ave
Eugene, OR 97403-1933

Mailing address

1966 Garden Ave
Eugene, OR 97403-1933
Phone (541) 505-9190

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
THW000111671ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Live. Grow. Share. LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

1966 Garden Ave
Eugene, OR 97403
Phone (541) 342-5088

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1003653676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-505-9190",
            "fax_number": "541-505-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-505-9190",
            "fax_number": "541-505-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "NOAH",
        "credential": "THW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000111671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2024; 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.