Active NPI
Lindsey Marjama-Taft
- Family Nurse Practitioner
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61517954
- Practice address
- Neurology at Salmon Creek, 2121 N.E. 139TH St.
Medical Office Building a, Suite 205
Vancouver, WA 98686 - Phone
- (360) 487-4707
- Fax
- (360) 487-4709
- NPI assigned
- Feb 14, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 10006831 | OR | |
| Neurology Physician | 2084N0400X | AP61517954 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61517954 | WA | Primary |
Addresses
Primary practice location
Neurology at Salmon Creek, 2121 N.E. 139TH St.
Medical Office Building a, Suite 205
Vancouver, WA 98686
Mailing address
4421 W 58TH St Unit 12
Sioux Falls, SD 57108-6511
Phone (701) 799-7941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2121 NE 139TH St
Suite 205
Vancouver, WA 98686-2316
Phone (503) 413-4488
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10006831 | OR | MD | Neurology Physician |
| AP61517954 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients |
Locations
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2121 NE 139th St
Ste 205
Vancouver, WA 98686
Phone (360) 487-4707
Organizations & group practices 2
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.
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1164287751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 W 58TH ST UNIT 12",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086511",
"telephone_number": "701-799-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEUROLOGY AT SALMON CREEK, 2121 N.E. 139TH ST.",
"address_2": "MEDICAL OFFICE BUILDING A, SUITE 205",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98686",
"telephone_number": "360-487-4707",
"fax_number": "360-487-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARJAMA-TAFT",
"first_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "10006831",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "AP61517954",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61517954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.