Peoples Community Clinic of Newberg LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201350039NP Issued in OR

Legal business name

PEOPLES COMMUNITY CLINIC OF NEWBERG LLC

Doing business as

People's Community Clinic of Newberg

Practice address

1014 N Springbrook Rd Ste B
Newberg, OR 97132-2061

Phone

(503) 449-8988

Fax

(503) 894-9194

NPI assigned

Sep 26, 2016

Last updated

Aug 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jacqueline Arielle Smith

Title

Owner

Phone

(503) 449-8988

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• People's Community Clinic of Newberg Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15129/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Diane Brodin, RN, APRN-NP

  • Family Nurse Practitioner
  • Newberg, OR
  • NPI 1932898897
  Medicare reassignment NPD
• Sheila M Smith, FNP

  • Family Nurse Practitioner
  • Newberg, OR
  • NPI 1053379479
  Medicare reassignment NPD

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1215486626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N SPRINGBROOK RD STE B",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322061",
            "telephone_number": "503-449-8988",
            "fax_number": "503-894-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N SPRINGBROOK RD STE B",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322061",
            "telephone_number": "503-449-8988",
            "fax_number": "503-894-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES COMMUNITY CLINIC OF NEWBERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ARIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-449-8988",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350039NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500720379",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "People's Community Clinic of Newberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick a Spensley MD PC (Villa Medical Clinic)
• Pearls Counseling LLC
• Heather Pendell, ND
• Michael Todd Pendell, N.D.
• Jillian Elaine Pennington, FNP
• Christian Perez
• Kelly S Perlewitz, MD
• Alyssa Perry
• Natalia Rose Perry, PA-C
• Karina Peters, M.A.

• Family Nurse Practitioner in Newberg, OR
• Providers in Newberg, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.