Lane Community College Health Clinic

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

080046349RN Issued in OR

Legal business name

LANE COMMUNITY COLLEGE HEALTH CLINIC

Practice address

4000 E 30TH Ave
Eugene, OR 97405

Phone

(541) 463-5665

Fax

(541) 463-4164

NPI assigned

Apr 13, 2007

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura K Greene, FNPNPI 1336337245

Title

Clinic Director

Phone

(541) 463-5665

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Kristin Greene, CNP

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1336337245
  NPD (past) Authorized official
• Amy Kappeler

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1346176674
  NPD (past)
• Dorothy Olive Kilmer, F.N.P.

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1477767481
  NPD (past)
• Harry Ernest Vandervort III, FNP

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1295856532
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1497970891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E 30TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-463-5665",
            "fax_number": "541-463-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E 30TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-463-5665",
            "fax_number": "541-463-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE COMMUNITY COLLEGE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "541-463-5665",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OR",
            "license": "080046349RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "080046349RN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Landry, MSW
• Lane Anesthesia Associates
• Lane Anesthesia Associates PC
• Lane Community College
• Lane Community College Dental Clinic
• Lane Council of Governments
• Lane County (LaneCare)
• Lane County (Lane County Public Health)
• Lane County Behavioral Health Services
• Lane County Bounty, LLC

• Student Health Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Student Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.