Laurie L Callahan, FNP, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200650147NP Issued in OR

Legal business name

LAURIE L CALLAHAN, FNP, INC

Practice address

6086 E Evans Creek Rd
Rogue River, OR 97537-9642

Phone

(541) 659-0969

NPI assigned

Jan 26, 2007

Last updated

Oct 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Leigh Callahan, MSN, FNP-BC, RNFA

Title

President

Phone

(541) 659-0969

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1013063551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6086 E EVANS CREEK RD",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379642",
            "telephone_number": "541-659-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6086 E EVANS CREEK RD",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379642",
            "telephone_number": "541-659-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE L CALLAHAN, FNP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-659-0969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP-BC, RNFA"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200650147NP",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "095006655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP",
            "identifier": "500618438",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah G. Jarvie, D.C.
• Mark W Kashishian, RPH
• Dawn Kay Kirkendall
• Bryant L Kitchen, D.C.
• La Clinica del Valle Family Healthcare Center Inc.
• Lotus Home Healthcare LLC
• Lwafp, PC Inc (Rogue River Health Clinic)
• Edward J Marchi, DDS
• Brian John Mateja, D.O.
• Teresa Marie McConnell, L.M.T

• Family Nurse Practitioner in Rogue River, OR
• Providers in Rogue River, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.