Mari E Nyssen, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

092000113RN Issued in OR

Practice address

16715 S. Gerber Rd.
Oregon City, OR 97045

Phone

(503) 452-0124

Fax

(503) 631-4443

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1487080834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 S. GERBER RD.",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "503-452-0124",
            "fax_number": "503-631-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 S. GERBER RD.",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "503-452-0124",
            "fax_number": "503-631-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSSEN",
        "first_name": "MARI",
        "middle_name": "E",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "092000113RN",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00145336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Primary Care Group, PC
• Northwest Rest, LLC
• Northwest Treatment
• NS Hearing Network
• Courtney Louise Nyman, QMHA
• Karin Lynn Nystrom
• Erin O'Brien Powers, MD
• Shea Lila O'Brien
• Caroline O'Dell, RN
• Myron John O'Doran

• Registered Nurse in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.