Active NPI
Vandi Huston, PWS, CRM
- Peer Specialist
- Portland, OR
National Provider Identifier
1093522922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 111837
- Practice address
- 1438 SE Division St
Portland, OR 97202-1140 - Phone
- (503) 548-0346
- Fax
- (503) 232-5959
- NPI assigned
- Dec 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 111837 | OR | Primary |
Addresses
Primary practice location
1438 SE Division St
Portland, OR 97202-1140
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (503) 548-0346
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 |
|---|---|---|---|
| 111837 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1093522922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "503-548-0346",
"fax_number": "503-232-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021140",
"telephone_number": "503-548-0346",
"fax_number": "503-232-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSTON",
"first_name": "VANDI",
"credential": "PWS, CRM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "111837",
"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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.