Jeri Pairish-Lack, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

094006084N1 Issued in OR

Practice address

124 NW Midland Ave
Ste J
Grants Pass, OR 97526-1269

Phone

(541) 476-8859

Fax

(541) 955-8611

NPI assigned

Jul 21, 2005

Last updated

Oct 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allcare Medical Group LLC

  • Family Medicine Physician
  • Grants Pass, OR
  • NPI 1699360412
  NPD (past)
• Mark Allen Rondeau

  • Family Medicine Physician
  • Grants Pass, OR
  • NPI 1861674780
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1497754329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NW MIDLAND AVE",
            "address_2": "STE J",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261269",
            "telephone_number": "541-476-8859",
            "fax_number": "541-955-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NW MIDLAND AVE",
            "address_2": "STE J",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261269",
            "telephone_number": "541-476-8859",
            "fax_number": "541-955-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIRISH-LACK",
        "first_name": "JERI",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "094006084N1",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Packard, PA-C
• Fiasau Paese
• Paul A Paez, DC
• Pain 2 Performance
• Ruby Painter
• Brian De Castro Palma, CRM
• Austin Palmer, DC
• Cathlean Ann Palmer, RDH
• Elizabeth Meghan Palmer
• Sophia Panacy

• Family Nurse Practitioner in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.