Individual provider Active NPI

Anne Maureen Fleming, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1336165331
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A66611 Issued in CA
Practice address
2340 NW Thurman St
Ste 202
Portland, OR 97210-2579
Phone
(503) 701-0996
Fax
(971) 413-7200
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD163490 OR
Psychiatry Physician 2084P0800X A66611 CA Primary

Addresses

Primary practice location

2340 NW Thurman St
Ste 202
Portland, OR 97210-2579

Mailing address

2340 NW Thurman St
Ste 202
Portland, OR 97210-2579
Phone (503) 701-0996

Other identifiers 1

IdentifierTypeStateIssuer
MD163490OtherOROREGON LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 13, 2013 through Dec 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66611CAMDPsychiatry Physician
MD163490ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Fleming, MD, LLC Psychiatry Current Accepting new patients

Locations

2340 NW Thurman St
Ste 202
Portland, OR 97210
Phone (503) 227-0975

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1336165331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 NW THURMAN ST",
            "address_2": "STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102579",
            "telephone_number": "503-701-0996",
            "fax_number": "971-413-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 NW THURMAN ST",
            "address_2": "STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102579",
            "telephone_number": "503-701-0996",
            "fax_number": "971-413-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ANNE",
        "middle_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD163490",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A66611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "MD163490",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.