Active NPI
Joanna Christina Picchi, NP
- Nurse Practitioner
- Falls City, OR
National Provider Identifier
1275546608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 80044749
- Practice address
- 304 N Main St
Falls City, OR 97374 - Phone
- (503) 787-3353
- Fax
- (503) 787-2911
- NPI assigned
- Aug 15, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 80044749 | OR | Primary |
Addresses
Primary practice location
304 N Main St
Falls City, OR 97374
Mailing address
435 Lancaster Dr NE
Salem, OR 97301-4729
Phone (503) 585-6388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291924 | 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80044749 | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Family Medical Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Falls City, OR
- NPI 1043483886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1275546608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014729",
"telephone_number": "503-585-6388",
"fax_number": "503-566-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N MAIN ST",
"city": "FALLS CITY",
"state": "OR",
"postal_code": "97374",
"telephone_number": "503-787-3353",
"fax_number": "503-787-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCHI",
"first_name": "JOANNA",
"middle_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "80044749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291924",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falls City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.