Active NPI
Christine Nicole Jeffries, MA, QMHA
- Case Manager/Care Coordinator
- Salem, OR
National Provider Identifier
1447719752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 360 Church St SE
Salem, OR 97301-3796 - Phone
- (503) 373-3819
- Fax
- (503) 588-6465
- NPI assigned
- Mar 16, 2019
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NH | ||
| Case Manager/Care Coordinator | 171M00000X | OR | Primary |
Addresses
Primary practice location
360 Church St SE
Salem, OR 97301-3796
Mailing address
360 Church St SE
Salem, OR 97301-3796
Phone (503) 373-3819
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1447719752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 CHURCH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013796",
"telephone_number": "503-373-3819",
"fax_number": "503-588-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 CHURCH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013796",
"telephone_number": "503-373-3819",
"fax_number": "503-588-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES",
"first_name": "CHRISTINE",
"middle_name": "NICOLE",
"credential": "MA, QMHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-16",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.