Vanessa Ivy Myers, AAS, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

17-CRM-038 Issued in OR

Practice address

152 SE 5TH Ave
Hillsboro, OR 97123-4293

Phone

(971) 202-7881

Fax

(503) 746-5617

NPI assigned

Oct 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ivy Myers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

State licenses

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1184135477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 NE 13TH PL",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971244074",
            "telephone_number": "503-619-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SE 5TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234293",
            "telephone_number": "971-202-7881",
            "fax_number": "503-746-5617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 SE 182nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972335008",
            "country_code": "US",
            "telephone_number": "503-761-6005",
            "fax_number": "503-761-1434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "VANESSA",
        "middle_name": "IVY",
        "credential": "AAS, CRM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "17-CRM-038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "MYERS",
            "credential": "AAS, CRM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vicente Murgado, PSY.D.,QMHP-C
• Cayla Murin
• Veronica Musso
• My Price Health
• Lewis Myers, MSW
• Michelle Myott, MS
• Karli Nabours, NP
• Reddi Sumathi Nagarimadugu, DDS
• Harpreet Nagra, PHD
• Ava Najafi

• Peer Specialist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.