Active NPI
Wendy J Trout, MSN, NP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1013045202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP012061
- Practice address
- 3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964 - Phone
- (360) 696-4061
- NPI assigned
- Mar 1, 2007
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 565162 | CA | |
| Nurse Practitioner | 363L00000X | 18232 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 565162 | CA | |
| Case Manager/Care Coordinator | 171M00000X | 565162 | CA | |
| Rehabilitation Counselor | 225C00000X | 565162 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP012061 | PA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201808928NP-PP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201808928 | OR |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Mailing address
3710 SW US Veterans Hosptial Rd.
Vancouver Campus, BLD 11, Room 128
Portland, OR 97239
Phone (360) 696-4061
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565162 | CA | MD | Rehabilitation Counselor |
| 201808928 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201808928NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP012061 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1013045202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPTIAL RD.",
"address_2": "VANCOUVER CAMPUS, BLD 11, ROOM 128",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "360-696-4061",
"fax_number": "360-737-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392964",
"telephone_number": "360-696-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "WENDY",
"middle_name": "J",
"credential": "MSN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "565162",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "18232",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "565162",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "565162",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "CA",
"license": "565162",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP012061",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201808928NP-PP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201808928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.