Mary Ann Nametka, DNP,MSN,CWON,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200750071NP Issued in OR

Practice address

7914 SE Main St
Portland, OR 97215-3031

Phone

(503) 888-0390

Fax

(888) 898-0933

NPI assigned

Aug 6, 2006

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

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dispatchhealth-Oregon PC

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1649822990
  Medicare reassignment NPD
• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment NPD
• Lebreoot a Professional Medical Corporation

  • Wound Care Registered Nurse
  • Beverly Hills, CA
  • NPI 1083306773

  OR, WA

  Medicare reassignment NPD
• Rainier Springs Physician Group, LLC

  • Neurology Physician
  • Vancouver, WA
  • NPI 1306321237
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  OR

  Medicare reassignment NPD
• Robert Marriott Medical Corp

  dba Advantage Wound Care

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  WA

  Medicare reassignment
• Healing Resources NW, LLC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1639458011
  Authorized official Same address or phone
• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381
  NPD
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)
• Ridgefield Family Medicine, PLLC

  • Family Medicine Physician
  • Ridgefield, WA
  • NPI 1407229719
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1104835297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153031",
            "telephone_number": "503-888-0390",
            "fax_number": "888-898-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153031",
            "telephone_number": "503-888-0390",
            "fax_number": "888-898-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMETKA",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DNP,MSN,CWON,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60063158",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200750071NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Nall
• Joana Hwang Nam, MD
• Namaste Natural Healing Center, Inc
• Amanda Nambiar, CNM, WHNP
• Tenzin Namdol
• Nami Multnomah
• Arjon Nance, CSWA
• Elizabeth Norma Nance, CSWA
• Lisa Louise Nance, ADULT NP
• Sarah Christine Nance

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.