Deronia Lynn James

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

113245 Issued in OR

Practice address

1550 NW Eastman Pkwy Ste 175
Gresham, OR 97030-3859

Phone

(503) 610-3853

NPI assigned

Feb 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Greater New Hope Family Services

  • Community/Behavioral Health Agency
  • Gresham, OR
  • NPI 1548781693
  NPD

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1326853367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19849 NE HALSEY ST APT 122",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972307490",
            "telephone_number": "503-666-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY STE 175",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303859",
            "telephone_number": "503-610-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DERONIA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathon Michael Jacobsen
• Kathryn Jacobsen
• Jade Branch Counseling PLLC
• Sydni Denise Jain-Redmond
• James R. Anderson DMD, P.C.
• Rebecka Keiko James
• Kim Jameson, DC
• Jami L Stephens
• Kyleigh Jandro
• Brittany Janes, PSYD

• Community Health Worker in Gresham, OR
• Providers in Gresham, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.