Active NPI
Elise Daniel Holcombe, RN
- Registered Nurse
- Happy Valley, OR
National Provider Identifier
1366130445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 092007031
- Practice address
- 11211 SE 82ND Ave Ste K
Happy Valley, OR 97086-7641 - Phone
- (503) 575-9845
- Fax
- (503) 908-6172
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 092007031 | OR | |
| Orthopedic Registered Nurse | 163WX0800X | 092007031 | OR | |
| Health & Wellness Coach | 171400000X | |||
| Health Educator | 174H00000X | |||
| Athletic Trainer | 2255A2300X | |||
| Registered Nurse | 163W00000X | 092007031 | OR | Primary |
Addresses
Primary practice location
11211 SE 82ND Ave Ste K
Happy Valley, OR 97086-7641
Mailing address
8988 SE Augustine CT
Happy Valley, OR 97086-3046
Phone (503) 519-4790
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092007031 | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1366130445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8988 SE AUGUSTINE CT",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970863046",
"telephone_number": "503-519-4790",
"fax_number": "503-908-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 SE 82ND AVE STE K",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867641",
"telephone_number": "503-575-9845",
"fax_number": "503-908-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMBE",
"first_name": "ELISE",
"middle_name": "DANIEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "OR",
"license": "092007031",
"primary": false
},
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "OR",
"license": "092007031",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "092007031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.