Individual provider Active NPI

Sheryl Jean Rindel, L.P.C., N.C.C.

  • Contractor
  • Portland, OR
National Provider Identifier
1043584501
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
C1406 Issued in OR
Practice address
1441 SE 122ND Ave
Portland, OR 97233-1270
Phone
(503) 252-3000
Fax
(503) 255-3367
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X C1406 OR Primary

Addresses

Primary practice location

1441 SE 122ND Ave
Portland, OR 97233-1270

Mailing address

1631 NE Broadway St
355-T
Portland, OR 97232-1425
Phone (503) 252-3000

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

LicenseStateTypeSpecialty
C1406ORMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Transactive Gender Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1043584501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NE BROADWAY ST",
            "address_2": "355-T",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321425",
            "telephone_number": "503-252-3000",
            "fax_number": "503-255-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331270",
            "telephone_number": "503-252-3000",
            "fax_number": "503-255-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDEL",
        "first_name": "SHERYL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "C1406",
            "primary": true
        }
    ],
    "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 Mar 1, 2012; 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.