Individual provider Active NPI

Lori Lynette Linton Nelson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1336297985
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
086000481N6-PMHNP-PP Issued in OR
Practice address
3180 Center St NE
Salem, OR 97301-4532
Phone
(503) 588-5351
Fax
(503) 585-4908
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 086000481N6-PMHNP-PP OR Primary

Addresses

Primary practice location

3180 Center St NE
Salem, OR 97301-4532

Mailing address

27332 S Meridian Rd
Aurora, OR 97002-8314
Phone (503) 678-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428001143 OR Practitioner - Nurse Practitioner 1052350071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of PolkGroup PAC ID 7315930492, 9 clinicians

Practice addresses (Care Compare)

1520 Plaza St NW
Suite 150
Salem, OR 97304-4658
Phone (503) 585-3012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
086000481N6-PMHNP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Polk CurrentSince Jan 17, 2008 Accepting new patients
Marion County CurrentSince Jun 16, 2005 Accepting new patients
County of Polk CurrentSince Jan 17, 2008 Accepting new patients
Marion County CurrentSince Jun 16, 2005 Accepting new patients

Locations

182 SW Academy St
Ste 333
Dallas, OR 97338
Phone (503) 623-9289

1520 Plaza St NW
Ste 150
Salem, OR 97304
Phone (503) 585-3012

3180 Center St NE
Salem, OR 97301
Phone (503) 588-5342

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

2045 Silverton Rd NE
Ste B
Salem, OR 97301
Phone (503) 364-3047

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1336297985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27332 S MERIDIAN RD",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "970028314",
            "telephone_number": "503-678-6946",
            "fax_number": "503-585-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014532",
            "telephone_number": "503-588-5351",
            "fax_number": "503-585-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON NELSON",
        "first_name": "LORI",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "086000481N6-PMHNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.