Individual provider Active NPI

Deidre Sue McCaslin-Noyes, LPN

  • Licensed Practical Nurse
  • Portland, OR
National Provider Identifier
1497068621
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
099003082LPN Issued in OR
Practice address
808 SW Alder St
Ste. #300
Portland, OR 97205-3133
Phone
(503) 226-2203
Fax
(503) 223-4231
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 099003082LPN OR Primary

Addresses

Primary practice location

808 SW Alder St
Ste. #300
Portland, OR 97205-3133

Mailing address

808 SW Alder St
Suite #300
Portland, OR 97205-3133
Phone (503) 226-2203

Other identifiers 1

IdentifierTypeStateIssuer
099003082LPNOtherORSTATE OF OREGON NURSING LICENSE

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

LicenseStateTypeSpecialty
099003082LPNORMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1497068621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SW ALDER ST",
            "address_2": "SUITE #300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053133",
            "telephone_number": "503-226-2203",
            "fax_number": "503-223-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SW ALDER ST",
            "address_2": "STE. #300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053133",
            "telephone_number": "503-226-2203",
            "fax_number": "503-223-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLIN-NOYES",
        "first_name": "DEIDRE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "099003082LPN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON NURSING LICENSE",
            "identifier": "099003082LPN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.