Active NPI
Jessi Madelin Norris, CRM
- Peer Specialist
- Albany, OR
National Provider Identifier
1477276889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 22-CRM-1256
- Practice address
- 1305 Hill St SE
Albany, OR 97322-6711 - Phone
- (541) 967-6580
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 22-CRM-1256 | OR | Primary |
Addresses
Primary practice location
1305 Hill St SE
Albany, OR 97322-6711
Mailing address
1798 4TH St NE
Salem, OR 97301-6423
Phone (503) 409-0474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-CRM-1256 | Other | OR | CERTIFIED RECOVERY MENTOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jnorris@familytreern.org | 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 |
|---|---|---|---|
| 22-CRM-1256 | OR | MD | Peer Specialist |
Interoperability endpoints
- jnorris@familytreern.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1477276889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1798 4TH ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973016423",
"telephone_number": "503-409-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 HILL ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226711",
"telephone_number": "541-967-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "JESSI",
"middle_name": "MADELIN",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "22-CRM-1256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED RECOVERY MENTOR",
"identifier": "22-CRM-1256",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jnorris@familytreern.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "1305 Hill St SE",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973226711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.