Active NPI
Angela Vivienne Writesman, P.S.S.
- Peer Specialist
- Eugene, OR
National Provider Identifier
1316458615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- THW2239
- Practice address
- 2145 Centennial PLZ
Eugene, OR 97401-2421 - Phone
- (541) 485-6340
- Fax
- (541) 984-3124
- NPI assigned
- Oct 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW2239 | OR | Primary |
Addresses
Primary practice location
2145 Centennial PLZ
Eugene, OR 97401-2421
Mailing address
1082 Main St Apt 205
Springfield, OR 97477-4852
Phone (541) 653-0795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW2239 | Other | OR | TRADITIONAL HEALTH WORKER, PEER SUPPORT SPECIALIST ADULTS MENTAL HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW2239 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1316458615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 MAIN ST APT 205",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774852",
"telephone_number": "541-653-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 CENTENNIAL PLZ",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012421",
"telephone_number": "541-485-6340",
"fax_number": "541-984-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRITESMAN",
"first_name": "ANGELA",
"middle_name": "VIVIENNE",
"credential": "P.S.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "THW2239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRADITIONAL HEALTH WORKER, PEER SUPPORT SPECIALIST ADULTS MENTAL HEALTH",
"identifier": "THW2239",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.