Individual provider Active NPI

Amy C Justman, LPN

  • Licensed Practical Nurse
  • Coos Bay, OR
National Provider Identifier
1346158367
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
200230080LPN Issued in OR
Practice address
1350 Teakwood Ave
Coos Bay, OR 97420-2537
Phone
(541) 266-4026
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 200230080LPN OR Primary

Addresses

Primary practice location

1350 Teakwood Ave
Coos Bay, OR 97420-2537

Mailing address

1350 Teakwood Ave
Coos Bay, OR 97420-2537
Phone (541) 266-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1346158367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TEAKWOOD AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202537",
            "telephone_number": "541-266-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TEAKWOOD AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202537",
            "telephone_number": "541-266-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTMAN",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200230080LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.