Shana Lee Alexander, RN
Individual provider Active NPI Registered Nurse · Pendleton, OR
NPI 1356436711 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1356436711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 096000550 RN (OR)
- Practice address
- 46314 Timine Way
Pendleton, OR 97801 - Phone
- (541) 966-9830
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096000550 RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assured Imaging Womens Wellness of Washington, LLC | Past | Accepting new patients | |
| Yellowhawk Tribal Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 096000550 RN | OR | Yes |
Addresses
Primary practice location
46314 Timine Way
Pendleton, OR 97801
Mailing address
73424 Burke Road
Box B4
Cayuse, OR 97821
Phone (541) 276-3626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171037 | Medicaid | OR |
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.