Individual provider Active NPI

Greta Ledford

  • School Registered Nurse
  • Lake Oswego, OR
National Provider Identifier
1528539848
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
200940230 Issued in OR
Practice address
16865 Boones Ferry Rd Ste 101
Lake Oswego, OR 97035-5281
Phone
(503) 699-6464
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 200940230 OR Primary
Plastic Surgery Registered Nurse 163WS0121X 200940230RN OR

Addresses

Primary practice location

16865 Boones Ferry Rd Ste 101
Lake Oswego, OR 97035-5281

Mailing address

211 Silver St Apt B
Silverton, OR 97381-1551
Phone (971) 800-1655

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200311000554 OR Practitioner - Nurse Practitioner 5496183162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200940230RNORMDPlastic Surgery Registered Nurse
200940230ORMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elisa a. Burgess, MD, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1528539848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SILVER ST APT B",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811551",
            "telephone_number": "971-800-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16865 BOONES FERRY RD STE 101",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355281",
            "telephone_number": "503-699-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "GRETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OR",
            "license": "200940230",
            "primary": true
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "OR",
            "license": "200940230RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.