Active NPI
Jane Ann Sawall, R.N., C.N.S.-B.C.
- Community Health/Public Health Clinical Nurse Specialist
- Medford, OR
National Provider Identifier
1124428859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist
- License
- 200570015CNS
- Practice address
- 1047 Brookdale Ave
Medford, OR 97504-5611 - Phone
- (541) 301-5412
- NPI assigned
- Aug 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 200570015CNS | OR | Primary |
Addresses
Primary practice location
1047 Brookdale Ave
Medford, OR 97504-5611
Mailing address
1047 Brookdale Ave
Medford, OR 97504-5611
Phone (541) 301-5412
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200570015CNS | OR | MD | Community Health/Public Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1124428859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 BROOKDALE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045611",
"telephone_number": "541-301-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 BROOKDALE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045611",
"telephone_number": "541-301-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWALL",
"first_name": "JANE",
"middle_name": "ANN",
"credential": "R.N., C.N.S.-B.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "OR",
"license": "200570015CNS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.