Audry B Van Houweling, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201403159NP-PP Issued in OR

Practice address

204 W Adams Ave Ste 202
Sisters, OR 97759-2517

Phone

(541) 595-8337

Fax

(503) 200-1433

NPI assigned

Aug 13, 2012

Last updated

Jan 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• She Soars Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sisters, OR
  • NPI 1285138313
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1114274859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2206",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977592206",
            "telephone_number": "541-595-8337",
            "fax_number": "971-983-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W ADAMS AVE STE 202",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977592517",
            "telephone_number": "541-595-8337",
            "fax_number": "503-200-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HOUWELING",
        "first_name": "AUDRY",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60297379",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60297379",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201403159NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0297873",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114274859",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Tice, PHARMD
• Timothy M Moore LLC (Aspen Counseling)
• Kellie Tippett
• Christopher Tittle, MS, CMHC, LPC
• Elizabeth Tucker
• Alana C Vernon, PT, DPT
• Wendy M Vernon, ATR-BC
• Vidasight LLC
• Erin Wanamaker, LMT
• Jonathan Daniel Wang, CSFA

• Psychiatric/Mental Health Nurse Practitioner in Sisters, OR
• Providers in Sisters, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.