Individual provider Active NPI

Tresa Hackford, RN

  • Registered Nurse
  • Eugene, OR
National Provider Identifier
1235510686
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
8533055-3102 Issued in UT
Practice address
151 W 7TH Ave
Eugene, OR 97401-1100
Phone
(541) 682-8783
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 8533055-3102 UT Primary

Addresses

Primary practice location

151 W 7TH Ave
Eugene, OR 97401-1100

Mailing address

2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550

Other identifiers 1

IdentifierTypeStateIssuer
201504752RNMedicaidOR

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
8533055-3102UTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon PastSince Nov 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tresa.hackford.p1@direct.lanecounty.nextgenshare.com
  • Direct secure messaging: tresa.hackford.p2@direct.lanecounty.nextgenshare.com

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1235510686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-682-3550",
            "fax_number": "541-682-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011100",
            "telephone_number": "541-682-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKFORD",
        "first_name": "TRESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8533055-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201504752RN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2015; 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.