Joy Supreme Bartlett-Ocobock

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

9111 NE Sunderland Ave
Portland, OR 97211-1708

Phone

(503) 280-6081

NPI assigned

Jan 7, 2008

Last updated

Feb 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1396920583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 NE KILLINGSWORTH ST UNIT G17",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183072",
            "telephone_number": "503-431-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 NE SUNDERLAND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111708",
            "telephone_number": "503-280-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT-OCOBOCK",
        "first_name": "JOY",
        "middle_name": "SUPREME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mahara Bartholomew, PA-C
• Lee Bartholomew
• Samuel Vincent Bartholomew, MD
• Lydia Anne M Bartholow, PMHNP
• Kristin Lynn Bartkowski
• Alyssa M Bartlett
• Claire Marie Bartlett, L.A.C.
• Isaiah Bartlett, MSW
• Kelsey Bartlett
• Thomas Holder Bartlett

• Adult Companion in Portland, OR
• Providers in Portland, OR by specialty
• Adult Companion in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.