Nadine Leavitt Siak

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

722 NE 162ND Ave
Albertina Kerr Centers
Portland, OR 97230

Phone

(503) 253-4205

NPI assigned

Mar 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nadine Leavitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1366614828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8042 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97215",
            "telephone_number": "503-774-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NE 162ND AVE",
            "address_2": "ALBERTINA KERR CENTERS",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-253-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAK",
        "first_name": "NADINE",
        "middle_name": "LEAVITT",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "LEAVITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Homer Shurtz, DDS, MS
• Jessica L Shuster, MD
• David Shute, MD
• Marn Vanessa Shweinfurth, DMD
• Alexander Shybut, CNA II
• Kwabena Siaka
• David Matthew Sibell, M.D.
• Brynna Levin Sibilla, LCSW
• Dana William Sibilla, DC
• Cailin Henderson Sibley, M.D.

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.