Jamie Kay Fournier, PEER SUPPORT SPECIAL

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3716 NE Martin Luther King Jr Blvd
Portland, OR 97212-1111

Phone

(503) 288-8066

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jamie Kay Fournier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1497272074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S 3RD ST APT 3",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512082",
            "telephone_number": "503-308-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121111",
            "telephone_number": "503-288-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "JAMIE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PEER SUPPORT SPECIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "FOURNIER",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "PEER SUPPORT SPECIAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tim Charles Foulke, PMHNP
• Foundations Behavioral Center
• Foundations Clinic, LLC
• Foundations Pediatric Therapy, LLC
• Marie-Pierre Fournier-Gosselin, M.D.
• Kay Linda Foust, COTA/L
• Kyleigh Ann Foust
• Melissa Foutch, LMT
• Michaela I Fouts, CPHT
• Alisa Gail Fowler

• All providers in Portland, OR
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.