Active NPI
Naomi G Suhler, NP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1154354579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 096007540N6
- Practice address
- 5933 NE Win Sivers Dr Ste 305
Portland, OR 97220-9106 - Phone
- (503) 420-5852
- NPI assigned
- Jul 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 096007540N6 | OR | Primary |
Addresses
Primary practice location
5933 NE Win Sivers Dr Ste 305
Portland, OR 97220-9106
Mailing address
14523 Westlake Dr
Lake Oswego, OR 97035-7700
Phone (502) 715-7077
Other practice location 1
2150 N 107th St Ste 480
Seattle, WA 98133-9009
Phone (209) 962-3535
Other practice location 2
14523 Westlake Dr
Lake Oswego, OR 97035-7700
Phone (502) 715-7077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00464780 | Other | OR | RR MEDICARE |
| 273933 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096007540N6 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Health of Oregon LLC | Past | Accepting new patients |
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.
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1154354579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14523 WESTLAKE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357700",
"telephone_number": "502-715-7077",
"fax_number": "503-715-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5933 NE WIN SIVERS DR STE 305",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209106",
"telephone_number": "503-420-5852"
}
],
"practiceLocations": [
{
"address_1": "2150 N 107th St Ste 480",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981339009",
"country_code": "US",
"telephone_number": "209-962-3535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14523 Westlake Dr",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970357700",
"country_code": "US",
"telephone_number": "502-715-7077",
"fax_number": "503-715-7077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUHLER",
"first_name": "NAOMI",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "096007540N6",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00464780",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273933",
"state": "OR"
}
],
"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 Oct 28, 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.