Individual provider Active NPI

Meredith Leigh Sykes, LE

  • Other Specialist/Technologist
  • Portland, OR
National Provider Identifier
1124837091
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
BAP-E-10244662 Issued in OR
Practice address
1012 SW King Ave Ste 10
Portland, OR 97205-1107
Phone
(919) 971-0969
NPI assigned
Jan 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X BAP-E-10244662 OR
Other Specialist/Technologist 246Z00000X BAP-E-10244662 OR Primary

Addresses

Primary practice location

1012 SW King Ave Ste 10
Portland, OR 97205-1107

Mailing address

1012 SW King Ave Ste 10
Portland, OR 97205-1107
Phone (919) 971-0969

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
BAP-E-10244662ORMDTechnician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Electrolysis Technician/Technologist CurrentSince Jul 13, 2025 Accepting new patients

Locations

1012 SW King Ave
Ste 10
Portland, OR 97205
Phone (919) 971-0969

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1124837091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SW KING AVE STE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051107",
            "telephone_number": "919-971-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SW KING AVE STE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051107",
            "telephone_number": "919-971-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "MEREDITH",
        "middle_name": "LEIGH",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "OR",
            "license": "BAP-E-10244662",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "OR",
            "license": "BAP-E-10244662",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 2025; 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.