Active NPI
Jennifer Pritchett
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Portland, OR
National Provider Identifier
1114441672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 201705642RN
- Practice address
- 832 NE 162ND Ave
Portland, OR 97230-5765 - Phone
- (503) 408-5016
- NPI assigned
- Jul 26, 2017
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 201705642RN | OR | Primary |
Addresses
Primary practice location
832 NE 162ND Ave
Portland, OR 97230-5765
Mailing address
832 NE 162ND Ave
Portland, OR 97230-5765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-0386780 | Other | NON-PROFIT |
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 |
|---|---|---|---|
| 201705642RN | OR | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1114441672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 NE 162ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 NE 162ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305765",
"telephone_number": "503-408-5016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETT",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "OR",
"license": "201705642RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-PROFIT",
"identifier": "93-0386780",
"state": null
}
],
"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 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.