Active NPI
Nereida Mohler, CMA
- Technician
- McMinniville, OR
National Provider Identifier
1245634807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 0922-6010
- Practice address
- 627 NE Evans St
McMinniville, OR 97128 - Phone
- (503) 434-7523
- Fax
- (503) 434-9846
- NPI assigned
- Oct 10, 2014
- Last updated
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Technician | 374700000X | 201211891CNA | OR | |
| Technician | 374700000X | 0922-6010 | OR | Primary |
Addresses
Primary practice location
627 NE Evans St
McMinniville, OR 97128
Mailing address
627 Evans St
Yamhill County Health and Human Services
McMinniville, OR 97128
Phone (503) 434-7523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500686786 | Medicaid | OR | |
| 1245634807 | Medicaid | OR |
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
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0922-6010 | OR | MD | Technician |
| 201211891CNA | OR | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1245634807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 EVANS ST",
"address_2": "YAMHILL COUNTY HEALTH AND HUMAN SERVICES",
"city": "MCMINNIVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-434-7523",
"fax_number": "503-434-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 NE EVANS ST",
"city": "MCMINNIVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-434-7523",
"fax_number": "503-434-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHLER",
"first_name": "NEREIDA",
"credential": "CMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "OR",
"license": "201211891CNA",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "OR",
"license": "0922-6010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500686786",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245634807",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.