Organization Active NPI

Danielle Norris LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1467958124
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DANIELLE NORRIS LLC
Practice address
171 Lawrence St
Eugene, OR 97401-2221
Phone
(541) 731-4600
Fax
(351) 207-4622
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Norris, PMHNPNPI 1548409048
Title
Owner, Practitioner
Phone
(702) 706-2904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

171 Lawrence St
Eugene, OR 97401-2221

Mailing address

171 Lawrence St
Eugene, OR 97401-2221

Other names 1

  • Cedar Psychiatric Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604002341 OR Part B Supplier - Clinic/Group Practice 3779833371 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR; Reedsport, OR

National Provider Directory

National Provider Directory

Locations

1930 Village Center Cir
#35256
Las Vegas, NV 89134

1930 Village Center Cir
Ste 35256
Las Vegas, NV 89134
Phone (702) 706-2904

5933 NE Win Sivers Dr
Ste 205
Portland, OR 97220
Phone (503) 506-5076

427 Fir Ave
Ste 210
Reedsport, OR 97467
Phone (541) 731-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1467958124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012221",
            "telephone_number": "541-731-4600",
            "fax_number": "351-207-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE NORRIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "702-706-2904",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.