Gloria Sim Le, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

202109331NP-PP Issued in OR

Practice address

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754

Phone

(541) 293-1325

Fax

(541) 229-1314

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pivot Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1447926829
  Medicare reassignment NPD
• Ocean Psychiatry Inc

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1396306338
  Medicare reassignment NPD
• Well Coast Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881245231

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Ocean Psychological Services, Inc.

  • Behavior Analyst
  • Fremont, CA
  • NPI 1932865029
  NPD
• Well Coast Psychiatric Inc. a Nursing Corp

  • Psychiatry Physician
  • Tigard, OR
  • NPI 1841784725

  Psychiatric/Mental Health

  NPD (past)
• Coastal Breeze Mental Health a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Cruz, CA
  • NPI 1497463491
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1316488620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW DISK DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023754",
            "telephone_number": "541-293-1325",
            "fax_number": "510-379-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW DISK DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023754",
            "telephone_number": "541-293-1325",
            "fax_number": "541-229-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39180 Liberty St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382586",
            "country_code": "US",
            "telephone_number": "510-451-2000",
            "fax_number": "510-379-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIM LE",
        "first_name": "GLORIA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202109330RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202109331NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006055",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006055",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202109331NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Rosa Silva
• Nicholas Silva, LMT, MMP,CA
• Ilana Silver, LCSW
• Kala Ray Silver, OTR/L
• Sarah Silverstein, MSW
• Julia Beth Simas, MA
• Matthew J Simeti
• Micah Simila, RPH
• Madeleine Anne Simmons, PMHNP
• Tiffany Simmons

• Psychiatric/Mental Health Nurse Practitioner in Bend, OR
• Providers in Bend, 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 Sep 23, 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.