Active NPI
Dario J Lapoma, PMHNP-DNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10014568
- Practice address
- 2006 SE Ankeny St
Portland, OR 97214-1622 - Phone
- (503) 298-9165
- Fax
- (949) 695-3794
- NPI assigned
- Oct 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10014568 | OR | Primary |
Addresses
Primary practice location
2006 SE Ankeny St
Portland, OR 97214-1622
Mailing address
2006 SE Ankeny St
Portland, OR 97214-1622
Phone (503) 298-9165
Other practice location 1
2051 Kaen Rd
Oregon City, OR 97045-4035
Phone (503) 655-8581
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Beavercreek Rd
Oregon City, OR 97045-4302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10014568 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clackamas County | Single Specialty | Current | Accepting new patients |
| County of Clackamas Office of County Auditor | Current | Accepting new patients |
Locations
2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300
6605 SE Lake Rd
Portland, OR 97222
Phone (503) 665-8471
39740 Pleasant St
Sandy, OR 97055
Phone (503) 563-7679
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.
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1841443587
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1245269315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701561600000",
"number": "1215536602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141622",
"telephone_number": "503-298-9165",
"fax_number": "949-695-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141622",
"telephone_number": "503-298-9165",
"fax_number": "949-695-3794"
}
],
"practiceLocations": [
{
"address_1": "2051 Kaen Rd",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970454035",
"country_code": "US",
"telephone_number": "503-655-8581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAPOMA",
"first_name": "DARIO",
"middle_name": "J",
"credential": "PMHNP-DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-18",
"last_updated": "2023-12-03",
"certification_date": "2023-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10014568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 3, 2023; 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.