Active NPI
Ingrid A Zeckser, RN
- Registered Nurse
- Portland, OR
National Provider Identifier
1144732702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201405939RN
- Practice address
- 17645 NW Saint Helens Rd
Portland, OR 97231-1729 - Phone
- (503) 621-1069
- Fax
- (503) 621-0200
- NPI assigned
- Nov 3, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60163636 | WA | |
| Registered Nurse | 163W00000X | 745137 | TX | |
| Registered Nurse | 163W00000X | NURR27222 | AK | |
| Registered Nurse | 163W00000X | 201405939RN | OR | Primary |
Addresses
Primary practice location
17645 NW Saint Helens Rd
Portland, OR 97231-1729
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (971) 386-2278
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 |
|---|---|---|---|
| NURR27222 | AK | MD | Registered Nurse |
| 201405939RN | OR | MD | Registered Nurse |
| 745137 | TX | MD | Registered Nurse |
| RN60163636 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1144732702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "971-386-2278",
"fax_number": "503-224-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17645 NW SAINT HELENS RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972311729",
"telephone_number": "503-621-1069",
"fax_number": "503-621-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZECKSER",
"first_name": "INGRID",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60163636",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "745137",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "NURR27222",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201405939RN",
"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 Nov 3, 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.