Active NPI
Lucy Rideout, FNP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10007710
- Practice address
- 4816 NW Bethany Blvd
Portland, OR 97229-9254 - Phone
- (888) 227-3312
- Fax
- (971) 282-0100
- NPI assigned
- Mar 6, 2017
- Last updated
- Jul 15, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10007710 | OR | Primary |
| Registered Nurse | 163W00000X | 201605242RN | OR |
Addresses
Primary practice location
4816 NW Bethany Blvd
Portland, OR 97229-9254
Mailing address
PO Box 2928
Portland, OR 97208-2928
Phone (425) 207-5155
Other practice location 1
10330 SE 32nd Ave
110
Milwaukie, OR 97222-6587
Phone (347) 721-8101
Other practice location 2
4400 NE Halsey St Ste 200
Portland, OR 97213-1545
Phone (503) 215-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074
Phone (971) 300-0654
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.78 of 100
- Quality
- 92.1
- Improvement activities
- 40
- Cost
- 80.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Olsen MD Washington PC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Robert Olsen MD LLC | Current | Accepting new patients |
Locations
1925 NE Stucki Ave
Ste 270
Beaverton, OR 97006
250 NW Franklin Ave
Ste 204
Bend, OR 97703
9895 SE Sunnyside Rd
Ste F
Clackamas, OR 97015
1400 Executive Pkwy
Ste 250
Eugene, OR 97401
13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018
1547 NE 40th Ave
Portland, OR 97232
Phone (503) 281-6535
1547 NE 40th Ave
Ste B
Portland, OR 97232
Phone (855) 397-0197
833 SW 11th Ave
Ste 245
Portland, OR 97205
Phone (503) 442-6105
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
2480 Liberty St NE
Ste 110
Salem, OR 97301
Phone (503) 371-1756
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba BestMind Behavioral Health
- Psychiatry Physician
- Vancouver, WA
- NPI 1073331948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1073053351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2928",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082928",
"telephone_number": "425-207-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 NW BETHANY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972299254",
"telephone_number": "888-227-3312",
"fax_number": "971-282-0100"
}
],
"practiceLocations": [
{
"address_1": "10330 SE 32nd Ave",
"address_2": "110",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972226587",
"country_code": "US",
"telephone_number": "347-721-8101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 NE Halsey St Ste 200",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972131545",
"country_code": "US",
"telephone_number": "503-215-6556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDEOUT",
"first_name": "LUCY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10007710",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201605242RN",
"primary": false
}
],
"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 Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.