Adrianna Jumping Eagle, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14-R-45 Issued in OR

Practice address

1003 E Main St
Suite 104
Medford, OR 97504-7448

Phone

(541) 779-1282

Fax

(541) 779-2081

NPI assigned

Mar 30, 2016

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Addictions Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Medford, OR
  • NPI 1346282035
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1417310236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E MAIN ST",
            "address_2": "SUITE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047448",
            "telephone_number": "541-779-1282",
            "fax_number": "541-779-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E MAIN ST",
            "address_2": "SUITE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047448",
            "telephone_number": "541-779-1282",
            "fax_number": "541-779-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMPING EAGLE",
        "first_name": "ADRIANNA",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "14-R-45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134150",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Joseph
• Helen Josey, NP
• Eryn Joyce
• James Michael Juarez, MD
• Tanner B Judd, DPT
• Ruby June
• Tae Kyung Jung, DMD
• Ian Jeffrey Jungers, PHARMD
• Matthew Thomas Jurek, DPT, CSCS
• Melanie M Kabot-Sturos, PMHNP

• Addiction (Substance Use Disorder) Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.