Supradtana Nile Pigromsuk-Valente, RRT, LPN

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

RTP10137640 Issued in OR

Practice address

3333 Riverbend Dr
Sacred Heart Medical Center
Springfield, OR 97477-8800

Phone

(541) 222-2400

NPI assigned

Feb 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: supradtana.pigromsukvalente.p2@direct.lanecounty.nextgenshare.com

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1326430554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TYLER ST APT 7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024656",
            "telephone_number": "541-653-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RIVERBEND DR",
            "address_2": "SACRED HEART MEDICAL CENTER",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-222-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGROMSUK-VALENTE",
        "first_name": "SUPRADTANA",
        "middle_name": "NILE",
        "credential": "RRT, LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "OR",
            "license": "RTP10137640",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201394057LPN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Phillips, MD
• Sherri Phillips
• Vickiejean Phillips
• Physician Management Services of Oregon II, LLC
• Tiernan Adelaide Pietsch
• Annamarie Chantel Pihs
• Elizabeth Pinkerton, M.S.
• Pinnacle Healthcare Management, Inc.
• Pinnacle Healthcare, Inc.
• John Pinney, M.ED.

• Registered Respiratory Therapist in Springfield, OR
• Providers in Springfield, OR by specialty
• Registered Respiratory Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.