Individual provider Active NPI

Rebecca Leigh Shower, RN, LAC

  • Psychiatric/Mental Health Registered Nurse
  • Gresham, OR
National Provider Identifier
1013106509
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
099000201 Issued in OR
Practice address
4101 NE Division St
Suite 100
Gresham, OR 97030-4617
Phone
(503) 666-3808
Fax
(503) 666-6835
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 099000201RN OR
Psychiatric/Mental Health Registered Nurse 163WP0808X 099000201 OR Primary
Acupuncturist 171100000X AC00971 OR

Addresses

Primary practice location

4101 NE Division St
Suite 100
Gresham, OR 97030-4617

Mailing address

4101 NE Division St
Suite 100
Gresham, OR 97030-4617
Phone (503) 666-3808

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
099000201RNORMDRegistered Nurse
099000201ORMDPsychiatric/Mental Health Registered Nurse
AC00971ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1013106509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NE DIVISION ST",
            "address_2": "SUITE 100",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970304617",
            "telephone_number": "503-666-3808",
            "fax_number": "503-666-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NE DIVISION ST",
            "address_2": "SUITE 100",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970304617",
            "telephone_number": "503-666-3808",
            "fax_number": "503-666-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWER",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "RN, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "099000201RN",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "099000201",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.