She Soars Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201403159NP-PP Issued in OR

Legal business name

SHE SOARS PSYCHIATRY, LLC

Practice address

102 E Main Ave # 300a
Sisters, OR 97759-0180

Phone

(541) 595-8337

Fax

(503) 200-1433

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Summer Whittaker

Title

Credentialing Specialist

Phone

(617) 453-9505

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audry B Van Houweling, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sisters, OR
  • NPI 1114274859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1285138313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2206",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977592206",
            "telephone_number": "541-595-8337",
            "fax_number": "541-200-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E MAIN AVE # 300A",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977590180",
            "telephone_number": "541-595-8337",
            "fax_number": "503-200-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHE SOARS PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "617-453-9505"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201402707RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201403159NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Carroll LLC
• Mark Sauerwein, MD
• Sarah C Schantz, DPT
• Erin Seaman
• John Edward Seitzinger, LMT
• Sisters Oregon MD LLC
• Sisters Physical Therapy, LLC.
• Sisters Rural Fire Protection District
• Sharon B Skidmore, P.T., D.P.T.
• Amanda Michelle Smith

• Psychiatric/Mental Health Nurse Practitioner in Sisters, OR
• Providers in Sisters, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.