Active NPI
Emily Kate Rousse, RNFA, RNAS-C
- Registered Nurse First Assistant
- Portland, OR
National Provider Identifier
1144926973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 200441371RN
- Practice address
- 1515 NW 18TH Ave Ste 200
Portland, OR 97209-2516 - Phone
- (503) 542-4888
- Fax
- (503) 542-2813
- NPI assigned
- Feb 2, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 200441371RN | OR | Primary |
Addresses
Primary practice location
1515 NW 18TH Ave Ste 200
Portland, OR 97209-2516
Mailing address
33808 Slavens Rd
Warren, OR 97053-9517
Phone (503) 522-7388
Other practice location 1
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
Other practice location 2
1015 NW 22nd Ave
Portland, OR 97210-3025
Phone (503) 413-7711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200441371RN | Other | OR | OREGON NURSING LICENSE |
| 1765478 | Other | CNOR | |
| R80383 | Other | RNAS-C |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200441371RN | OR | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703980800000",
"number": "1144926973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33808 SLAVENS RD",
"city": "WARREN",
"state": "OR",
"postal_code": "970539517",
"telephone_number": "503-522-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NW 18TH AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092516",
"telephone_number": "503-542-4888",
"fax_number": "503-542-2813"
}
],
"practiceLocations": [
{
"address_1": "4805 NE Glisan St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132933",
"country_code": "US",
"telephone_number": "503-215-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 NW 22nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972103025",
"country_code": "US",
"telephone_number": "503-413-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSSE",
"first_name": "EMILY",
"middle_name": "KATE",
"credential": "RNFA, RNAS-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-02",
"last_updated": "2023-12-31",
"certification_date": "2023-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "OR",
"license": "200441371RN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON NURSING LICENSE",
"identifier": "200441371RN",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNOR",
"identifier": "1765478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RNAS-C",
"identifier": "R80383",
"state": null
}
],
"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 Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.