Active NPI
Onesimus Health Services, LLC
- Family Nurse Practitioner
- Roseburg, OR
National Provider Identifier
1346818481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ONESIMUS HEALTH SERVICES, LLC
- Practice address
- 1813 W Harvard Ave Ste 233
Roseburg, OR 97471-8704 - Phone
- (541) 391-7506
- Fax
- (541) 391-7503
- NPI assigned
- Jun 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie C Abbott, FNP
- Title
- Owner
- Phone
- (407) 382-9436
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1813 W Harvard Ave Ste 233
Roseburg, OR 97471-8704
Mailing address
1224 NE Walnut St # 384
Roseburg, OR 97470-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50066907 | Medicaid | OR |
Other names 1
- Onesimus Health Services, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2241222 | Onesimus Health Services | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Roseburg, OR
- NPI 1700217064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623715200000",
"number": "1346818481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 NE WALNUT ST # 384",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974702026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 233",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718704",
"telephone_number": "541-391-7506",
"fax_number": "541-391-7503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONESIMUS HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A",
"authorized_official_last_name": "ABBOTT",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-382-9436",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50066907",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Onesimus Health Services, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.