Active NPI
Andrea Thea Sheehan
- Registered Nurse
- Portland, OR
National Provider Identifier
1326315706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200241871RN
- Practice address
- 1312 SW Washington St
De Paul Treatment Centers
Portland, OR 97205 - Phone
- (503) 535-1151
- NPI assigned
- Nov 29, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200241871RN | OR | Primary |
Addresses
Primary practice location
1312 SW Washington St
De Paul Treatment Centers
Portland, OR 97205
Mailing address
De Paul Treatment Centers
P.O. Box 3007
Portland, OR 97208
Phone (503) 535-1151
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 |
|---|---|---|---|
| 200241871RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1326315706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DE PAUL TREATMENT CENTERS",
"address_2": "P.O. BOX 3007",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97208",
"telephone_number": "503-535-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 SW WASHINGTON ST",
"address_2": "DE PAUL TREATMENT CENTERS",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-535-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "ANDREA",
"middle_name": "THEA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200241871RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.