Individual provider Active NPI

Emily Yamashita, APRN

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1356504989
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200950133NP Issued in OR
Practice address
421 SW Oak St
210
Portland, OR 97204-1817
Phone
(503) 988-7468
Fax
(503) 988-3015
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200950133NP OR Primary

Addresses

Primary practice location

421 SW Oak St
210
Portland, OR 97204-1817

Mailing address

600 NE 8TH St Ste 300
Attn: Credentialing Department
Gresham, OR 97030-7318
Phone (503) 988-5155

Other identifiers 2

IdentifierTypeStateIssuer
22959MedicaidOR
004236346MedicaidCT

Other names 1

  • Emily Sheren Former name

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
I20100318000218 OR Practitioner - Nurse Practitioner 4486715331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003937CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Jan 1, 2014 Accepting new patients
Multnomah County CurrentSince Jan 1, 2014 Accepting new patients
Multnomah County Past Accepting new patients
Mulnomah County Past Accepting new patients

Locations

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

600 NE 8th St
Ste 300
Gresham, OR 97030
Phone (503) 988-5155

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

Interoperability endpoints

  • Direct secure messaging: eyamashita13298@direct.ochin.org

Organizations & group practices 5

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1356504989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE 8TH ST STE 300",
            "address_2": "ATTN: CREDENTIALING DEPARTMENT",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307318",
            "telephone_number": "503-988-5155",
            "fax_number": "503-988-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SW OAK ST",
            "address_2": "210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041817",
            "telephone_number": "503-988-7468",
            "fax_number": "503-988-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASHITA",
        "first_name": "EMILY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200950133NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22959",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236346",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SHEREN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.