John James Nishan

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

201143290RN Issued in OR

Practice address

1415 16TH St
Oregon City, OR 97045-1707

Phone

(503) 705-7191

NPI assigned

Aug 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1285464727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 16TH STREET",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 16TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451707",
            "telephone_number": "503-705-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHAN",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201143290RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Niederkorn, MA
• Jo Anne Nielsen, M.D.
• Martha A Nielsen
• Michael P Nielsen, M.D.
• Megan Nieto
• Lloyd Garrett Noel, D.M.D.. MS
• Casey Dillon Norlin, DMD
• North Lake Physical Therapy and Rehabilitation Inc.
• Northland Hearing Centers, Inc (Willoughby Hearing Aid Centers)
• Northwest Pathologists, LLC

• Psychiatric/Mental Health Registered Nurse in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.