Individual provider Active NPI

Sheila Kathryn Ahern, CPE

  • Specialist
  • Portland, OR
National Provider Identifier
1356709448
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BAP-E-10153367 Issued in OR
Practice address
610 SW Alder St
Stuite 920
Portland, OR 97205-3625
Phone
(503) 227-6050
Fax
(503) 241-4299
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BAP-E-10153367 OR Primary

Addresses

Primary practice location

610 SW Alder St
Stuite 920
Portland, OR 97205-3625

Mailing address

610 SW Alder St
Stuite 920
Portland, OR 97205-3625
Phone (503) 227-6050

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BAP-E-10153367ORMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1356709448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST",
            "address_2": "STUITE 920",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053625",
            "telephone_number": "503-227-6050",
            "fax_number": "503-241-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SW ALDER ST",
            "address_2": "STUITE 920",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053625",
            "telephone_number": "503-227-6050",
            "fax_number": "503-241-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "SHEILA",
        "middle_name": "KATHRYN",
        "credential": "CPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10153367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.