Christine Lacedra, RN

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

13976 NW Pali St
Seal Rock, OR 97376-9417

Phone

(541) 272-0124

NPI assigned

Aug 18, 2016

Last updated

Aug 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1073068110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13976 NW PALI ST",
            "city": "SEAL ROCK",
            "state": "OR",
            "postal_code": "973769417",
            "telephone_number": "541-272-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13976 NW PALI ST",
            "city": "SEAL ROCK",
            "state": "OR",
            "postal_code": "973769417",
            "telephone_number": "541-272-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEDRA",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN 464023",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Coates, LMT
• C Amber Rose Dullea, LCSW
• Sterling Evison, M.A., LMFT

• Health Educator in Seal Rock, OR
• Providers in Seal Rock, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.