Elanya D'Yns Ennli Nightingale-Warren, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23-CRM-1970 Issued in OR

Practice address

877 NW Grant Ave
Corvallis, OR 97330-4539

Phone

(541) 752-2703

NPI assigned

Jun 26, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1417633280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32483 OAKVILLE RD SW UNIT 76",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973219459",
            "telephone_number": "541-570-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 NW GRANT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304539",
            "telephone_number": "541-752-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHTINGALE-WARREN",
        "first_name": "ELANYA",
        "middle_name": "D'YNS ENNLI",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23-CRM-1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erhard Viggo Nielsen Jr.
• Danielle Michelle Niemann, DO
• Tara Nierenberg, M.S.W.
• Sarah W Nies, DO
• Madeline Niese
• Diego V Nila, CADC-R
• Kara Niles
• Amy Easterly Nistico, M.O.T.
• Qianhui Niu
• Aslan Beth Noakes, RN

• Addiction (Substance Use Disorder) Counselor in Corvallis, OR
• Providers in Corvallis, 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 Jun 26, 2023; 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.