Active NPI
Amber Converse
- Case Management Registered Nurse
- White City, OR
National Provider Identifier
1467190678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 201143423RN
- Practice address
- 8495 Crater Lake Hwy
White City, OR 97503-3011 - Phone
- (541) 273-6206
- Fax
- (541) 273-6207
- NPI assigned
- May 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 201143423RN | OR | Primary |
Addresses
Primary practice location
8495 Crater Lake Hwy
White City, OR 97503-3011
Mailing address
2225 N Eldorado Ave
Klamath Falls, OR 97601-6417
Phone (541) 273-6206
Other practice location 1
2225 North El Dorado Blvd
Klamath Falls, OR 97601
Phone (541) 273-6206 ext. 1735
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | amber.converse@va.gov | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201143423RN | OR | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1467190678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 N ELDORADO AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016417",
"telephone_number": "541-273-6206",
"fax_number": "541-273-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8495 CRATER LAKE HWY",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "975033011",
"telephone_number": "541-273-6206",
"fax_number": "541-273-6207"
}
],
"practiceLocations": [
{
"address_1": "2225 North El Dorado Blvd",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "97601",
"country_code": "US",
"telephone_number": "541-273-6206 x1735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONVERSE",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OR",
"license": "201143423RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "amber.converse@va.gov",
"affiliation": "N",
"endpointDescription": "VA email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2225 North El Dorado Blvd",
"city": "Klamath Falls",
"state": "OR",
"country_code": "US",
"postal_code": "97601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in White City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.