Individual provider Active NPI

Megan Maxine Shiere, LPN

  • Licensed Practical Nurse
  • Gresham, OR
National Provider Identifier
1124591466
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201706342LPN Issued in OR
Practice address
3955 SE 182ND Ave
Gresham, OR 97030-5036
Phone
(503) 665-0183
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201706342LPN OR Primary

Addresses

Primary practice location

3955 SE 182ND Ave
Gresham, OR 97030-5036

Mailing address

2700 W Powell Blvd Apt M197
Gresham, OR 97030-6512
Phone (503) 991-2395

Other practice location 1

3955 SE 182nd Ave
Gresham, OR 97030-5036
Phone (503) 665-0183

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

LicenseStateTypeSpecialty
201706342LPNORMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1124591466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W POWELL BLVD APT M197",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306512",
            "telephone_number": "503-991-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305036",
            "telephone_number": "503-665-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 SE 182nd Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305036",
            "country_code": "US",
            "telephone_number": "503-665-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIERE",
        "first_name": "MEGAN",
        "middle_name": "MAXINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201706342LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.