Active NPI
Daniela Letz, PMHNP, LCSW
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201150083NP
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225 - Phone
- (503) 327-1598
- NPI assigned
- Dec 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L3781 | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201150083NP | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225
Mailing address
1795 NW 143Rd Ave
Unit 3
Portland, OR 97229-4373
Phone (503) 327-1598
Other practice location 1
1795 NW 143rd Ave
Unit 3
Portland, OR 97229-4373
Phone (503) 327-1598
Other practice location 2
847 NE 19th Ave Ste 100
Portland, OR 97232-2684
Phone (503) 238-0769
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dletz111397@oc.providencedirect.org | ||
| Direct Messaging Address | dletz111397@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
4212 SE Division St
Suite 100
Portland, OR 97206-1680
Phone (503) 236-7166
Hospital & facility affiliations
- Providence St Vincent Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3781 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascadia Health | Current | Accepting new patients | |
| Cascadia Health | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Interventional and Vascular Consultants PC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
847 NE 19th Ave
Ste 100
Portland, OR 97232
Phone (503) 552-6203
707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
4212 SE Division St
Ste 100
Portland, OR 97206
Phone (503) 238-0705
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
2701 NW Vaughn St
Ste 325
Portland, OR 97210
Phone (503) 610-6563
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1336196401
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1144722935
-
- Vascular & Interventional Radiology Physician
- Wilsonville, OR
- NPI 1770889388
-
- Medical Oncology Physician
- Portland, OR
- NPI 1255740965
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1184785727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 NW 143RD AVE",
"address_2": "UNIT 3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972294373",
"telephone_number": "503-327-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-327-1598"
}
],
"practiceLocations": [
{
"address_1": "1795 NW 143rd Ave",
"address_2": "Unit 3",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972294373",
"country_code": "US",
"telephone_number": "503-327-1598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "847 NE 19th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322684",
"country_code": "US",
"telephone_number": "503-238-0769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETZ",
"first_name": "DANIELA",
"credential": "PMHNP, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L3781",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201150083NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dletz111397@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9205 SW Barnes Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "97225",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dletz111397@oc.providencedirect.org",
"affiliation": "N",
"address_1": "5251 NE Glisan St Bldg A2nd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972133052",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 13, 2020; 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.