Active NPI
Ann Dunlap Dewitt
- Counselor
- Lake Oswego, OR
National Provider Identifier
1447766324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- T0848
- Practice address
- 14523 Westlake Dr Ste 5
Lake Oswego, OR 97035-7700 - Phone
- (503) 956-4827
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 38425 | CA | |
| Counselor | 101Y00000X | T0848 | OR | Primary |
Addresses
Primary practice location
14523 Westlake Dr Ste 5
Lake Oswego, OR 97035-7700
Mailing address
14523 Westlake Dr Ste 5
Lake Oswego, OR 97035-7700
Phone (503) 956-4827
Other names 1
- Ann Barbara Dunlap
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0848 | OR | MD | Counselor |
| 38425 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1447766324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14523 WESTLAKE DR STE 5",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357700",
"telephone_number": "503-956-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14523 WESTLAKE DR STE 5",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357700",
"telephone_number": "503-956-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "ANN",
"middle_name": "DUNLAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "38425",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "T0848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "DUNLAP",
"middle_name": "BARBARA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.