Active NPI
Kristy Mae Valencia
- Registered Record Administrator
- Woodburn, OR
National Provider Identifier
1265063374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Record Administrator
- License
- 941735
- Practice address
- 1605 E Lincoln Rd
Woodburn, OR 97071-5137 - Phone
- (593) 666-6575
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Record Administrator | 246YR1600X | 941735 | Primary |
Addresses
Primary practice location
1605 E Lincoln Rd
Woodburn, OR 97071-5137
Mailing address
1605 E Lincoln Rd
Woodburn, OR 97071-5137
Phone (593) 666-6575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941735 | Medicaid | OR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Alugo@telecarecrop.com | Direct | |
| Direct Messaging Address | Alugo@telecarecrop.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1265063374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 E LINCOLN RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970715137",
"telephone_number": "593-666-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 E LINCOLN RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970715137",
"telephone_number": "593-666-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "KRISTY",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "246YR1600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
"state": null,
"license": "941735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941735",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alugo@telecarecrop.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1605 E Lincoln Rd",
"city": "Woodburn",
"state": "OR",
"country_code": "US",
"postal_code": "970715137",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alugo@telecarecrop.com",
"affiliation": "N",
"address_1": "1605 E Lincoln Rd",
"city": "Woodburn",
"state": "OR",
"country_code": "US",
"postal_code": "970715137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.