Individual provider Active NPI

Vicki Kenny Silverthorne

  • Community Health Worker
  • Eugene, OR
National Provider Identifier
1184802936
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
R1097 Issued in OR
Practice address
921 Country Club Rd
Suite 222
Eugene, OR 97401-2257
Phone
(541) 686-6000
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X R1097 OR Primary

Addresses

Primary practice location

921 Country Club Rd
Suite 222
Eugene, OR 97401-2257

Mailing address

1223 Calvin St
Eugene, OR 97401-5321
Phone (541) 343-3538

Other names 1

  • Mrs. Vicki Silverthorne Professional name

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

LicenseStateTypeSpecialty
R1097ORMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christians As Family Advocates PastSince Jan 17, 2018 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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1184802936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 CALVIN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015321",
            "telephone_number": "541-343-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD",
            "address_2": "SUITE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012257",
            "telephone_number": "541-686-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERTHORNE",
        "first_name": "VICKI",
        "middle_name": "KENNY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "R1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "SILVERTHORNE",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.