Active NPI
Sarah Rebecca Paul, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201394040NP-PP
- Practice address
- 10300 SW Eastridge St
Portland, OR 97225-5004 - Phone
- (503) 944-5000
- NPI assigned
- Nov 24, 2013
- Last updated
- Jan 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201394040NP-PP | OR | Primary |
Addresses
Primary practice location
10300 SW Eastridge St
Portland, OR 97225-5004
Mailing address
7084 SW 181St PL
Aloha, OR 97007-5252
Phone (503) 781-3278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.57 of 100
- Quality
- 77.16
- Improvement activities
- 40
- Cost
- 90.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Current | Accepting new patients | |
| Vitellaria LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Florida Department of Children and Families | Current | Accepting new patients | |
| Florida Department of Children and Families | Current | Accepting new patients | |
| Cultivate Wellness Counseling LLC | Past | Accepting new patients |
Locations
100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215
7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Florida State Hospital-Unit 31
- General Acute Care Hospital
- Chattahoochee, FL
- NPI 1710945118
-
- Adult Mental Health Clinic/Center
- Beaverton, OR
- NPI 1720733678
-
dba Northeast Florida State Hospital
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
-
dba Florida State Hospital
- Psychiatric Hospital
- Chattahoochee, FL
- NPI 1578895470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1366872517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7084 SW 181ST PL",
"city": "ALOHA",
"state": "OR",
"postal_code": "970075252",
"telephone_number": "503-781-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW EASTRIDGE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255004",
"telephone_number": "503-944-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "SARAH",
"middle_name": "REBECCA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-24",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201394040NP-PP",
"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 Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.