Active NPI
Dara Michelle Fields, FNP
- Family Nurse Practitioner
- Baker City, OR
National Provider Identifier
1013389956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201507905NP-PP
- Practice address
- 2200 4TH Street
Baker City, OR 97814 - Phone
- (541) 523-3646
- Fax
- (541) 523-7602
- NPI assigned
- Oct 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Family Nurse Practitioner | 363LF0000X | 201507905NP-PP | OR | Primary |
Addresses
Primary practice location
2200 4TH Street
Baker City, OR 97814
Mailing address
P.O. Box 1005
Baker City, OR 97814
Phone (541) 523-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500697153 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201507905NP-PP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1013389956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1005",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "97814",
"telephone_number": "541-523-7400",
"fax_number": "541-523-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 4TH STREET",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "97814",
"telephone_number": "541-523-3646",
"fax_number": "541-523-7602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "DARA",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201507905NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500697153",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.