Mary Purdy, PBP, BSN, RES-CPT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

099000160RN Issued in OR

Practice address

104 S Water St
Silverton, OR 97381-1641

Phone

(503) 910-1045

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1144642901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WOODLAND DR NE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973818710",
            "telephone_number": "503-910-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S WATER ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811641",
            "telephone_number": "503-910-1045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 S Water St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811644",
            "country_code": "US",
            "telephone_number": "503-910-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MARY",
        "credential": "PBP, BSN, RES-CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "099000160RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "099000160RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Diann Price
• Elise Miranda Princehouse Moore, DPT
• Promotion Advanced Functional Rehab, LLC
• Providence Silverton Rehab LLC
• Brian E Puerling, NP
• Sharon Louise Purtymun, LMT
• Kendall T Pyper, DDS
• Beverly Rabin, L.M.T.
• Rainbow Valley Pediatrics
• Nawaid Rana, MD

• Registered Nurse in Silverton, OR
• Providers in Silverton, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.