Andrea Louisell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201507030NP-PP Issued in OR

Practice address

4015 Mercantile Dr Ste 200
Suite 200
Lake Oswego, OR 97035-2552

Phone

(503) 216-1538

NPI assigned

Aug 14, 2015

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 names 1

• Andrea Gattuso Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  Medicare reassignment
• Legacy Clinics LLC

  dba Legacy Medical Group Firwood

  • Rural Health Clinic/Center
  • Sandy, OR
  • NPI 1730472192
  NPD

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508232448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 SW FLORIDA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191300",
            "telephone_number": "503-476-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 MERCANTILE DR STE 200",
            "address_2": "SUITE 200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352552",
            "telephone_number": "503-216-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Valley River Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016758",
            "country_code": "US",
            "telephone_number": "541-222-7378",
            "fax_number": "541-222-7389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 W 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974023040",
            "country_code": "US",
            "telephone_number": "541-222-7200",
            "fax_number": "541-484-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Beltline Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974771091",
            "country_code": "US",
            "telephone_number": "541-222-6005",
            "fax_number": "541-222-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUISELL",
        "first_name": "ANDREA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200242256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201507030NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GATTUSO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Paul Long, LCSW
• January L Loomis, L.M.T.
• Enriquita Lopez, MD
• Morgan Lorenz
• Ghazaleh Louie, ND
• Gail Lowry
• Kaytlin Lucas, LMT, 21640
• Lucent Psychiatry
• Hannah Lundeen, RD
• Jessica Rachel Luscombe, DPT

• Family Nurse Practitioner in Lake Oswego, OR
• Providers in Lake Oswego, 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.