Active NPI
Mary Glenda Comeaux-Fortier, FNP
- Family Nurse Practitioner
- Hood River, OR
National Provider Identifier
1013324649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200050095NP
- Practice address
- 570 Toms Dr
Hood River, OR 97031-7754 - Phone
- (541) 386-1644
- NPI assigned
- Jul 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200050095NP | OR | Primary |
Addresses
Primary practice location
570 Toms Dr
Hood River, OR 97031-7754
Mailing address
570 Toms Dr
Hood River, OR 97031-7754
Phone (541) 386-1644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200050095NP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1013324649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 TOMS DR",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970317754",
"telephone_number": "541-386-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 TOMS DR",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970317754",
"telephone_number": "541-386-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAUX-FORTIER",
"first_name": "MARY",
"middle_name": "GLENDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200050095NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.