Individual provider Active NPI

Andreana Hok-Wai Siu, RNP, DNSC

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1497723159
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
302452 Issued in CA
Practice address
3710 SW US Veterans Hospital Rd
Cardiology (P3 Card)
Portland, OR 97207-1034
Phone
(503) 220-8262
Fax
(503) 721-7852
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 302452 CA Primary
Family Nurse Practitioner 363LF0000X AP30005769 WA
Family Nurse Practitioner 363LF0000X OR

Addresses

Primary practice location

3710 SW US Veterans Hospital Rd
Cardiology (P3 Card)
Portland, OR 97207-1034

Mailing address

3710 SW US Veterans Hospital Rd
PO Box 1034 (P3Card)
Portland, OR 97207-1034
Phone (503) 220-8262

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
200750047NPORMDFamily Nurse Practitioner
AP30005769WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1497723159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "address_2": "PO BOX 1034 (P3CARD)",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071034",
            "telephone_number": "503-220-8262",
            "fax_number": "503-721-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "address_2": "CARDIOLOGY (P3 CARD)",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071034",
            "telephone_number": "503-220-8262",
            "fax_number": "503-721-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "ANDREANA",
        "middle_name": "HOK-WAI",
        "name_prefix": "Dr.",
        "credential": "RNP, DNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "302452",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005769",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2007; 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.