Active NPI
Megan L Langworthy, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1457967325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202009229NP-PP
- Practice address
- 4110 SE Hawthorne Blvd # 273
Portland, OR 97214-5246 - Phone
- (503) 383-9350
- NPI assigned
- Sep 16, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61103986 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202009229NP-PP | OR | Primary |
Addresses
Primary practice location
4110 SE Hawthorne Blvd # 273
Portland, OR 97214-5246
Mailing address
4110 SE Hawthorne Blvd # 273
Portland, OR 97214-5246
Phone (503) 383-9350
Other practice location 1
959 SE Division St Ste 315
Portland, OR 97214-4673
Phone (503) 383-9350
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202009229NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61103986 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asanapy LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4110 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 383-9350
959 SE Division St
Ste 315
Portland, OR 97214
Phone (503) 850-8518
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1457967325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 SE HAWTHORNE BLVD # 273",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145246",
"telephone_number": "503-383-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 SE HAWTHORNE BLVD # 273",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145246",
"telephone_number": "503-383-9350"
}
],
"practiceLocations": [
{
"address_1": "959 SE Division St Ste 315",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972144673",
"country_code": "US",
"telephone_number": "503-383-9350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGWORTHY",
"first_name": "MEGAN",
"middle_name": "L",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-16",
"last_updated": "2024-04-05",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61103986",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202009229NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.