Praveena Drake, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201401777RN Issued in OR

Practice address

185 N 4TH St
Saint Helens, OR 97051-1535

Phone

(503) 397-5211

NPI assigned

Aug 5, 2014

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1326457201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N 4TH ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511535",
            "telephone_number": "503-397-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N 4TH ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511535",
            "telephone_number": "503-397-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "PRAVEENA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201401777RN",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN60466359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D Dixon, M.S.W.
• Joann Dohn, LCSW
• Rachael Domeyer
• Janet Denise Dommasch, MS
• Amber Star Downey
• Robin A Dray, CDP, BA
• Amanda Drews, MSW, QMHP
• Heather Louise Dryden, M.D.
• Leyla Heather Duechle
• Jennifer Leann Duncan, CHW

• Registered Nurse in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.