Active NPI
Lisa Lee Rohm, NP
- Family Nurse Practitioner
- Port Orford, OR
National Provider Identifier
1487274361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10008819APRN-NP
- Practice address
- 525 Madrona Ave
Port Orford, OR 97465-9552 - Phone
- (541) 332-3281
- Fax
- (541) 332-0250
- NPI assigned
- Apr 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10008819APRN-NP | OR | Primary |
Addresses
Primary practice location
525 Madrona Ave
Port Orford, OR 97465-9552
Mailing address
40551 Little River Airport Rd
Little River, CA 95456-9665
Phone (503) 708-8182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WV, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10008819APRN-NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surprise Valley Health Care District | Current | Accepting new patients | |
| Webster Memorial Hospital, Inc. | Current | Accepting new patients | |
| Curry Health District | Current | Accepting new patients | |
| Curry Health District | Current | Accepting new patients | |
| Curry Health District | Past | Accepting new patients |
Locations
500 5th St
Brookings, OR 97415
Phone (541) 412-2000
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682
Interoperability endpoints
- lrohm3366622@oc.providencedirect.org
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- Critical Access Hospital
- Webster Springs, WV
- NPI 1679241152
-
- Rural Health Clinic/Center
- Gold Beach, OR
- NPI 1770303968
-
- Critical Access Hospital
- Cedarville, CA
- NPI 1801973052
-
- Rural Health Clinic/Center
- Port Orford, OR
- NPI 1811939093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1487274361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40551 LITTLE RIVER AIRPORT RD",
"city": "LITTLE RIVER",
"state": "CA",
"postal_code": "954569665",
"telephone_number": "503-708-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 MADRONA AVE",
"city": "PORT ORFORD",
"state": "OR",
"postal_code": "974659552",
"telephone_number": "541-332-3281",
"fax_number": "541-332-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHM",
"first_name": "LISA",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10008819APRN-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.