Active NPI
Analiese Bannister, RN
- Registered Nurse
- Gladstone, OR
National Provider Identifier
1366969115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 094000395RN
- Practice address
- 18911 Portland Ave
Gladstone, OR 97027-1630 - Phone
- (503) 722-6801
- Fax
- (503) 722-6810
- NPI assigned
- Aug 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 094000395RN | OR | |
| Registered Nurse | 163W00000X | 094000395RN | OR | Primary |
Addresses
Primary practice location
18911 Portland Ave
Gladstone, OR 97027-1630
Mailing address
18911 Portland Ave
Gladstone, OR 97027-1630
Phone (503) 722-6801
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 |
|---|---|---|---|
| 094000395RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366969115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18911 PORTLAND AVE",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970271630",
"telephone_number": "503-722-6801",
"fax_number": "503-722-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18911 PORTLAND AVE",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970271630",
"telephone_number": "503-722-6801",
"fax_number": "503-722-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNISTER",
"first_name": "ANALIESE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": "094000395RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "094000395RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.